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LAKE WALES FOOT AND ANKLE CARE, INC
NPI 1770930919
Podiatrist - Foot & Ankle Surgery in Lake Wales, FL

Active since May 18, 2016CLIA 10D2299787 · Certificate of Compliance
408 S 1ST ST, HIGHLAND MEADOWS, LAKE WALES, FL 33853(863) 676-1710 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2016, May 18, 2016 (2 updates tracked since 2016).

About Lake Wales Foot And Ankle Care, Inc NPPES

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

LAKE WALES FOOT AND ANKLE CARE, INC (NPI 1770930919) is a healthcare organization registered as a foot & ankle surgery in Lake Wales, Florida and active in the NPI registry since May 2016. The organization holds a CLIA Certificate of Compliance certificate valid through November 12, 2026 and lists Prerna Alfa Mall, President, as its authorized official.

NPPES Registry Identity

NPI1770930919
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLAKE WALES FOOT AND ANKLE CARE, INC
Location Address408 S 1ST ST, HIGHLAND MEADOWSLake Wales, FL 33853-4146
Mailing Address801 Woodlark Dr, Highland MeadowsHaines City, FL 33844-7745 · (863) 676-1710
Phone(863) 676-1710
Organization SubpartNo
Authorized OfficialPrerna Alfa MallPresident · (863) 676-1710
Enumeration DateMay 18, 2016
Last NPPES UpdateSeptember 26, 20162 updates tracked since enumeration
✔ NPI 1770930919 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
408 S 1ST ST, Lake Wales, FL 33853
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

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 Compliance 10D2299787

Lake Wales Foot And Ankle Care Inc · Lake Wales, FL
Active · expires Nov 12, 2026
CLIA Number10D2299787
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorMarlon S. Osbourne
Laboratory Phone(863) 676-1710
Laboratory LocationLake Wales Foot And Ankle Care Inc408 South 1st Street, Lake Wales, FL 33853
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

PRERNA ALFA MALL DPM
Podiatrist (Foot & Ankle Surgery)
408 S 1ST ST
LAKE WALES, FL 33853
Polk County (863) 676-1710
CYNTHIA SINGLETON APRN
Nurse Practitioner (Family)
408 S 1ST ST
LAKE WALES, FL 33853
Polk County (863) 353-1394
PODIATRY CENTER PA
Podiatrist
408 S 1ST ST
LAKE WALES, FL 33853
Polk County (863) 676-1710
KIMBERLY RENEE HINTON NURSE PRACTITIONER
Nurse Practitioner (Family)
408 S 1ST ST
LAKE WALES, FL 33853
Polk County (863) 353-1394

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 Lake Wales Foot And Ankle Care, Inc's NPI number?

The NPI number for Lake Wales Foot And Ankle Care, Inc is 1770930919. It was assigned to this organization in the NPPES registry on May 18, 2016.

Where is Lake Wales Foot And Ankle Care, Inc located?

Lake Wales Foot And Ankle Care, Inc is located at 408 S 1st St Highland Meadows, Lake Wales, FL 33853. The listed phone number is (863) 676-1710.

What is Lake Wales Foot And Ankle Care, Inc's specialty?

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

Does Lake Wales Foot And Ankle Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2299787) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Wales Foot And Ankle Care, Inc accept?

Health plans from Wellpoint list Lake Wales Foot And Ankle Care, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Wales Foot And Ankle Care, Inc was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.