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PEACE RIVER ANKLE & FOOT, PL
NPI 1023329331
Podiatrist - Foot & Ankle Surgery in Port Charlotte, FL

Active since July 01, 2010
3440 CONWAY BLVD, 1D, PORT CHARLOTTE, FL 33952(941) 624-3668 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peace River Ankle & Foot, Pl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACE RIVER ANKLE & FOOT, PL (NPI 1023329331) is a healthcare organization registered as a foot & ankle surgery in Port Charlotte, Florida and active in the NPI registry since July 2010. The organization lists Holly K Waddell, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1023329331
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePEACE RIVER ANKLE & FOOT, PL
Location Address3440 CONWAY BLVD, 1DPort Charlotte, FL 33952-7000
Mailing Address3440 Conway Blvd, 1dPort Charlotte, FL 33952-7000 · (941) 624-3668
Phone(941) 624-3668
Organization SubpartNo
Authorized OfficialHolly K WaddellOwner/podiatrist · (941) 624-3668
Enumeration DateJuly 1, 2010
Last NPPES UpdateMarch 3, 2011
✔ NPI 1023329331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO3264
3440 CONWAY BLVD, Port Charlotte, FL 33952
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC6480200001FL
Medicare PINDF795AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGER S LEE D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3440 CONWAY BLVD, SUITE 2D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 743-4425
DR. ALAN C LEVIN BDS
Dentist (Prosthodontics)
3440 CONWAY BLVD, #2A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-4311
KELLIE SHANKS
Massage Therapist
3440 CONWAY BLVD, 3B
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-1882
RACHEL M COTE
Massage Therapist
3440 CONWAY BLVD, 3B
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-1882
DR. DAVID G WILSON III DDS
Dentist
3440 CONWAY BLVD, SUITE # 1-B
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-5141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peace River Ankle & Foot, Pl's NPI number?

The NPI number for Peace River Ankle & Foot, Pl is 1023329331. It was assigned to this organization in the NPPES registry on July 1, 2010.

Where is Peace River Ankle & Foot, Pl located?

Peace River Ankle & Foot, Pl is located at 3440 Conway Blvd 1D, Port Charlotte, FL 33952. The listed phone number is (941) 624-3668.

What is Peace River Ankle & Foot, Pl's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Peace River Ankle & Foot, Pl was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.