Provider Demographics
NPI:1710228846
Name:FLORIDA ELITE FOOT & ANKLE ASSOCIATES INC.
Entity Type:Organization
Organization Name:FLORIDA ELITE FOOT & ANKLE ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-530-2819
Mailing Address - Street 1:6745 NW 75TH PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3943
Mailing Address - Country:US
Mailing Address - Phone:561-352-5991
Mailing Address - Fax:954-721-9841
Practice Address - Street 1:6745 NW 75TH PL
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-3943
Practice Address - Country:US
Practice Address - Phone:561-352-5991
Practice Address - Fax:954-721-9841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3422213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEW007Medicare UPIN