Provider Demographics
NPI:1588237309
Name:PODIATRIC MEDICAL SPECIALISTS OF FLORIDA
Entity Type:Organization
Organization Name:PODIATRIC MEDICAL SPECIALISTS OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:407-252-9974
Mailing Address - Street 1:1639 ASTOR FARMS PL
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8063
Mailing Address - Country:US
Mailing Address - Phone:407-252-9974
Mailing Address - Fax:
Practice Address - Street 1:1639 ASTOR FARMS PL
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8063
Practice Address - Country:US
Practice Address - Phone:407-252-9974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty