Provider Demographics
NPI:1720713571
Name:ALIGN FOOT AND ANKLE PLLC
Entity Type:Organization
Organization Name:ALIGN FOOT AND ANKLE PLLC
Other - Org Name:ALIGN FOOT AND ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHERY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:972-816-9356
Mailing Address - Street 1:1615 PASADENA AVE S STE 280
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-4517
Mailing Address - Country:US
Mailing Address - Phone:972-816-9356
Mailing Address - Fax:727-476-6930
Practice Address - Street 1:1615 PASADENA AVE S STE 280
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-4517
Practice Address - Country:US
Practice Address - Phone:972-816-9356
Practice Address - Fax:727-476-6930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-17
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8294210001OtherDME SUPPLIER/PTAN NUMBER