NPI 1861665770 · live from the CMS NPI Registry
Active Foot Care, INC.
Podiatrist in Panama City, FL. National Provider Identifier 1861665770, active.
NPI record
| NPI | 1861665770 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2563 Huntcliff Lane, Panama City, FL 32405 |
| Practice phone | 850-769-1055 |
| Enumerated | April 11, 2008 |
| Last updated | March 7, 2013 |
| Authorized official | Jalal Sidani, Podiatrist |
| Other names | Jalal K Sidani Dpm |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | P02326 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.