Provider Demographics
NPI:1952611956
Name:MIAMI PODIATRY PA
Entity Type:Organization
Organization Name:MIAMI PODIATRY PA
Other - Org Name:JAMES TRACY DPM PODIATRIC MEDICINE & SURGERY PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-552-5545
Mailing Address - Street 1:9485 SUNSET DR STE A100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3214
Mailing Address - Country:US
Mailing Address - Phone:305-552-5545
Mailing Address - Fax:305-552-0156
Practice Address - Street 1:9485 SUNSET DR STE A100
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3214
Practice Address - Country:US
Practice Address - Phone:305-552-5545
Practice Address - Fax:305-552-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-12
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty