Organization
ADVANCED FOOT AND ANKLE SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY S WEINGARTEN DPM (OWNER)
(772) 223-8313
Entity
Organization
Contact information
Practice address
1233 SE INDIAN ST STE 102, STUART, FL 34997-5689
(772) 223-8313
(772) 223-8675
Mailing address
1233 SE INDIAN ST STE 102, STUART, FL 34997-5689
(772) 223-8313
(772) 223-8675
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO000220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0725649
CLIA
FL
05
—
340500100
—
FL
01
—
65234
BCBS
FL
01
—
DA1737
RAILROAD MEDICARE
FL
Enumeration date
03/27/2007
Last updated
08/21/2014
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