# FOOT AND ANKLE SPORT CENTER 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:** 1427350511
- **Authorized official:** AUGUSTINE A. BOLLO DPM (OWNER)
- **Authorized official phone:** (954) 450-0099

## Contact information

- **Practice address:** 17751 SW 2ND ST, PEMBROKE PINES, FL 33029-3924
- **Practice address phone:** (954) 450-0099
- **Practice address fax:** (866) 381-9207
- **Mailing address:** 17751 SW 2ND ST, PEMBROKE PINES, FL 33029-3924
- **Mailing address phone:** (954) 450-0099
- **Mailing address fax:** (866) 381-9207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2570 | FL | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 09/16/2016