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PREMIUM PODIATRY HEALTHCARE & SERVICES, INC.
NPI 1831574557
Podiatrist in Miami, FL

Active since July 23, 2015
1611 NW 12TH AVE, MIAMI, FL 33136(305) 710-1971 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premium Podiatry Healthcare & Services, Inc. NPPES

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

PREMIUM PODIATRY HEALTHCARE & SERVICES, INC. (NPI 1831574557) is a healthcare organization registered as a podiatrist in Miami, Florida and active in the NPI registry since July 2015. The organization lists Lisa M Detournay, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1831574557
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePREMIUM PODIATRY HEALTHCARE & SERVICES, INC.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1235 Mariposa Ave Apt 2Coral Gables, FL 33146-3252 · (305) 710-1971
Phone(305) 710-1971
Organization SubpartNo
Authorized OfficialLisa M DetournayOwner/podiatrist · (305) 710-1971
Enumeration DateJuly 23, 2015
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1831574557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E5133
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1611 NW 12TH AVE, Miami, FL 33136
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Other Identifiers 1

Medicaid029750000FL

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 20

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

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Premium Podiatry Healthcare & Services, Inc.'s NPI number?

The NPI number for Premium Podiatry Healthcare & Services, Inc. is 1831574557. It was assigned to this organization in the NPPES registry on July 23, 2015.

Where is Premium Podiatry Healthcare & Services, Inc. located?

Premium Podiatry Healthcare & Services, Inc. is located at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 710-1971.

What is Premium Podiatry Healthcare & Services, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Premium Podiatry Healthcare & Services, Inc. was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.