NPI 1053772921 · live from the CMS NPI Registry
Advanced Foot & Ankle, LLC
Podiatrist in Casselberry, FL. National Provider Identifier 1053772921, active.
NPI record
| NPI | 1053772921 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 178 Wilshire Blvd, Casselberry, FL 32707 |
| Practice phone | 407-671-8010 |
| Enumerated | March 18, 2016 |
| Last updated | April 25, 2018 |
| Authorized official | Roma Patel, Owner/Practitioner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | PO3710 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.