LAKE WALES FOOT AND ANKLE CARE, INC
NPI 1770930919
Podiatrist - Foot & Ankle Surgery in Lake Wales, FL
- Organization
- Podiatrist
- Foot & Ankle Surgery
- Accepts Insurance
- CLIA Number: 10D2299787
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-12-2026
About LAKE WALES FOOT AND ANKLE CARE, INC
This page provides the complete NPI Profile along with additional information for Lake Wales Foot And Ankle Care, Inc, a provider established in Lake Wales, Florida operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1770930919 assigned on May 2016. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Prerna Alfa Mall Dpm (President)
- NPI
- 1770930919 Verify this NPI
- Provider Name
- LAKE WALES FOOT AND ANKLE CARE, INC
- Entity Type
- Organization
- Location Address
- 408 S 1ST ST HIGHLAND MEADOWS LAKE WALES, FL 33853
- Location Phone
- (863) 676-1710
- Mailing Address
- 801 WOODLARK DR HIGHLAND MEADOWS HAINES CITY, FL 33844
- Mailing Phone
- (863) 676-1710
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2016
- Last Update Date
- 09-26-2016
- 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
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2299787
- Facility Type
- Physician Office
- Certificate Effective Date
- November 13, 2024
- Certificate Expiration Date
- November 12, 2026
- Laboratory Director
- MARLON S. OSBOURNE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Lake Wales Foot And Ankle Care, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
LAKE WALES, FL 33853
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770930919, enumerated as an "organization" on May 18, 2016.
The provider is located at 408 S 1ST ST HIGHLAND MEADOWS LAKE WALES, FL 33853 and the phone number is (863) 676-1710.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Wellpoint. Please consult your insurance carrier or call the provider to verify.
