Provider Demographics
NPI:1548438104
Name:PALM BEACH FOOT & ANKLE INC
Entity type:Organization
Organization Name:PALM BEACH FOOT & ANKLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-964-1178
Mailing Address - Street 1:2650 S MILITARY TRL
Mailing Address - Street 2:SUITE # 9
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-7514
Mailing Address - Country:US
Mailing Address - Phone:561-964-1178
Mailing Address - Fax:561-967-7339
Practice Address - Street 1:2650 S MILITARY TRL
Practice Address - Street 2:SUITE# 9
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7514
Practice Address - Country:US
Practice Address - Phone:561-964-1178
Practice Address - Fax:561-967-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0614100002Medicare NSC