Provider Demographics
NPI:1386134799
Name:FOOT & ANKLE CENTER OF FLORIDA LLC
Entity type:Organization
Organization Name:FOOT & ANKLE CENTER OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPORE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, MBA
Authorized Official - Phone:347-742-7737
Mailing Address - Street 1:2400 HARBOR BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5038
Mailing Address - Country:US
Mailing Address - Phone:941-500-2088
Mailing Address - Fax:941-500-2089
Practice Address - Street 1:2400 HARBOR BLVD STE 11
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952
Practice Address - Country:US
Practice Address - Phone:941-500-2088
Practice Address - Fax:941-500-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PO3848213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty