Provider Demographics
NPI:1447555768
Name:FOOT AND ANKLE CENTER OF OCALA, PA
Entity type:Organization
Organization Name:FOOT AND ANKLE CENTER OF OCALA, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:LINN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:352-861-1055
Mailing Address - Street 1:6160 SW HIGHWAY 200
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-8307
Mailing Address - Country:US
Mailing Address - Phone:352-861-1055
Mailing Address - Fax:352-854-6743
Practice Address - Street 1:13940 N US HIGHWAY 441
Practice Address - Street 2:BLDG 300, SUITE 302
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8908
Practice Address - Country:US
Practice Address - Phone:352-861-1055
Practice Address - Fax:352-854-6743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6121430001Medicare NSC
FLAK580Medicare PIN