Provider Demographics
NPI:1366672503
Name:ANKLE & FOOT CARE SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:ANKLE & FOOT CARE SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PULSIFER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:407-648-4107
Mailing Address - Street 1:PO BOX 568396
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32856-8396
Mailing Address - Country:US
Mailing Address - Phone:407-648-4107
Mailing Address - Fax:407-648-4177
Practice Address - Street 1:1200 SOUTH KUHL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1127
Practice Address - Country:US
Practice Address - Phone:407-648-4107
Practice Address - Fax:407-648-4177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 3207213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750557880OtherNPI