NPI 1194664953 · live from the CMS NPI Registry
Advanced Innovations Podiatry LLC
Podiatrist, Foot & Ankle Surgery in Vero Beach, FL. National Provider Identifier 1194664953, active.
NPI record
| NPI | 1194664953 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1700 Waterford Dr, Vero Beach, FL 32966 |
| Practice phone | 772-275-4923 |
| Mailing address | 7901 4th St N Ste 300, St Petersburg, FL 33702 |
| Enumerated | March 26, 2026 |
| Last updated | March 26, 2026 |
| Authorized official | Forton Wimbush, Authorized Signer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.