Provider Demographics
NPI:1487217287
Name:ABSOLUTE FOOT & ANKLE SPECIALISTS INC
Entity type:Organization
Organization Name:ABSOLUTE FOOT & ANKLE SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-441-7030
Mailing Address - Street 1:5040 NW 7TH ST STE 414
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3431
Mailing Address - Country:US
Mailing Address - Phone:305-441-7030
Mailing Address - Fax:
Practice Address - Street 1:2103 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2601
Practice Address - Country:US
Practice Address - Phone:305-441-7030
Practice Address - Fax:305-441-9484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE FOOT & ANKLE SPECIALISTS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-17
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty