# ADVANCED INNOVATIONS PODIATRY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194664953
- **Authorized official:** FORTON WIMBUSH (AUTHORIZED SIGNER)
- **Authorized official phone:** (510) 914-1223

## Contact information

- **Practice address:** 1700 WATERFORD DR, VERO BEACH, FL 32966-8043
- **Practice address phone:** (772) 275-4923
- **Mailing address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2026
- **Last updated:** 03/26/2026