Provider Demographics
NPI:1285973065
Name:ANKLE & FOOT SPECIALIST OF DADE COUNTY, INC.
Entity type:Organization
Organization Name:ANKLE & FOOT SPECIALIST OF DADE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-825-5633
Mailing Address - Street 1:7975 NW 154TH ST STE 390
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5867
Mailing Address - Country:US
Mailing Address - Phone:305-825-5633
Mailing Address - Fax:305-825-5521
Practice Address - Street 1:7975 NW 154TH ST STE 390
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5867
Practice Address - Country:US
Practice Address - Phone:305-825-5633
Practice Address - Fax:305-825-5521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO-0002377213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU49349Medicare UPIN