FOOT, ANKLE & LEG SPECIALISTS
NPI 1124201991
Non-Pharmacy Dispensing Site in Pembroke Pines, FL

Active since December 14, 2007
17842 NW 2ND STREET, PEMBROKE PINES, FL 33029(954) 389-5900 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Non-Pharmacy Dispensing Site

About FOOT, ANKLE & LEG SPECIALISTS

This page provides the complete NPI Profile along with additional information for Foot, Ankle & Leg Specialists, a provider established in Pembroke Pines, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1124201991 assigned on December 2007. The practitioner's primary taxonomy code is 332900000X with license number PO02570 (FL). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Augustine Bollo (Physician)

NPI
1124201991 Verify this NPI
Provider Name
FOOT, ANKLE & LEG SPECIALISTS
Entity Type
Organization
Location Address
17842 NW 2ND STREET PEMBROKE PINES, FL 33029
Location Phone
(954) 389-5900
Mailing Address
3607 OLD CONEJO RD THOUSAND OAKS, CA 91320
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2007
Last Update Date
12-19-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
PO02570
License State
FL
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AUGUSTINE BOLLO

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(954) 389-5900

Reviews for FOOT, ANKLE & LEG SPECIALISTS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124201991, enumerated as an "organization" on December 14, 2007.

The provider is located at 17842 NW 2ND STREET PEMBROKE PINES, FL 33029 and the phone number is (954) 389-5900.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.