The Foot Doctor Corporation

LBN: Evaristo E. Rivero
The Foot Doctor Corporation is an health care organization with primary practice located at 230 E Interlake Blvd , Lake Placid FL 33852-9603. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Evaristo E. Rivero can be contacted via phone (863) 699-6001, or through Rivero, Evaristo E. via phone (863) 699-6001.

Contact Information

Primary practice address
230 E Interlake Blvd Lake Placid FL 33852-9603
Phone: (863) 699-6001
Fax: (863) 699-6002
Website:
Map and Directions
Authorized official contact:
Name: Rivero, Evaristo E. Doctor of Podiatric Medicine (DPM)
Phone: (863) 699-6001

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2506 Florida

Profile Details

NPI number 1659554798
LBN Legal business name Evaristo E. Rivero
DBA Doing business as The Foot Doctor Corporation
Authorized official Rivero, Evaristo E. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Jul 20th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659554798 NPPES
Florida MEDICAID 390277300

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