Organization
ADVANCED FOOT CARE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL VELARDE DPM (OWNER)
(865) 523-1141
Entity
Organization
Contact information
Practice address
2824 MERCHANTS DR, KNOXVILLE, TN 37912-4905
(865) 521-6635
Mailing address
2824 MERCHANTS DR, KNOXVILLE, TN 37912-4905
(865) 523-1145
(865) 521-6635
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
631
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726396
—
TN
01
—
4099765
BLUE CROSS BLUE SHIELD
TN
01
—
7644655
AETNA
TN
01
—
8893748
CIGNA
TN
01
—
P00182231
RAIL ROAD MEDICARE
TN
01
—
TN0102
UNITED HEALTHCARE
TN
Enumeration date
07/30/2006
Last updated
10/25/2012
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