DELAND FOOT AND LEG CENTER, LLC
NPI 1154516185
Podiatrist - Foot & Ankle Surgery in Deland, FL

Active since September 12, 2007CLIA 10D2210706 · Waiver
844 N STONE ST STE 208, DELAND, FL 32720(386) 738-3733 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deland Foot And Leg Center, Llc NPPES

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

DELAND FOOT AND LEG CENTER, LLC (NPI 1154516185) is a healthcare organization registered as a foot & ankle surgery in Deland, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Jenneffer Schneller Pulapaka, Owner/ Manager, as its authorized official.

NPPES Registry Identity

NPI1154516185
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDELAND FOOT AND LEG CENTER, LLC
Location Address844 N STONE ST STE 208Deland, FL 32720-3208
Mailing Address844 N Stone St Ste 208Deland, FL 32720-3208 · (386) 738-3733
Organization SubpartNo
Authorized OfficialJenneffer Schneller PulapakaOwner/ Manager · (386) 738-3733
Enumeration DateSeptember 12, 2007
Last NPPES UpdateMarch 8, 2018
NPI 1154516185 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 · PO3160
844 N STONE ST STE 208, Deland, FL 32720

Other Identifiers 2

Medicaid340518400FL
Other=========32720A001FL · Tricare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2210706

Deland Foot And Leg Center LLC · Deland, FL
Active · expires Jan 21, 2027
CLIA Number10D2210706
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorJenneffer Pulapaka
Laboratory Phone(386) 738-3733
Laboratory LocationDeland Foot And Leg Center LLC844 North Stone Street #208, Deland, FL 32720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
844 N STONE ST STE 208
DELAND, FL 32720

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 Deland Foot And Leg Center, LLC's NPI number?

The NPI number for Deland Foot And Leg Center, LLC is 1154516185. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Deland Foot And Leg Center, LLC located?

Deland Foot And Leg Center, LLC is located at 844 N Stone St Ste 208, Deland, FL 32720. The listed phone number is (386) 738-3733.

What is Deland Foot And Leg Center, LLC's specialty?

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

Does Deland Foot And Leg Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2210706) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deland Foot And Leg Center, LLC was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.