NPI 1407177694 · live from the CMS NPI Registry
Affordable Foot And Leg, LLC
Podiatrist in Hallandale Beach, FL. National Provider Identifier 1407177694, active.
NPI record
| NPI | 1407177694 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2100 E Hallandale Beach Blvd, Suite 204, Hallandale Beach, FL 33009 |
| Practice phone | 954-458-1248 |
| Enumerated | June 22, 2010 |
| Last updated | April 11, 2012 |
| Authorized official | Craig Stam, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | PO 3321 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.