# FLORIDA FOOT AND ANKLE SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1598343873
- **Authorized official:** DR. JASON SPECTOR DPM (FOOT AND ANKLE SURGEON)
- **Authorized official phone:** (407) 230-0395

## Contact information

- **Practice address:** 8636 STATE ROAD 70 E, BRADENTON, FL 34202-3785
- **Practice address phone:** (941) 241-5333
- **Practice address fax:** (941) 241-5333
- **Mailing address:** 8636 STATE ROAD 70 E, BRADENTON, FL 34202-3785
- **Mailing address phone:** (941) 241-5333
- **Mailing address fax:** (941) 241-5333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213EP0504X | Public Medicine Podiatrist | — | NULL | — |
| 213EP0504X | Public Medicine Podiatrist | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ER0200X | Radiology Podiatrist | — | NULL | — |
| 213ER0200X | Radiology Podiatrist | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 03/30/2021
- **Last updated:** 11/16/2021
