Provider Demographics
NPI:1003101239
Name:ALL FEET PODIATRY INC.
Entity Type:Organization
Organization Name:ALL FEET PODIATRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATA REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-480-5522
Mailing Address - Street 1:8390 W FLAGLER ST
Mailing Address - Street 2:STE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2039
Mailing Address - Country:US
Mailing Address - Phone:305-480-5522
Mailing Address - Fax:305-480-5422
Practice Address - Street 1:8390 W FLAGLER ST
Practice Address - Street 2:STE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2039
Practice Address - Country:US
Practice Address - Phone:305-480-5522
Practice Address - Fax:305-480-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1906213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty