Lakeside Foot And Ankle Center | |
1330 Citizens Blvd, Suite 301, Leesburg, FL 34748-3959 | |
(352) 728-1252 | |
(352) 728-0079 |
Full Name | Lakeside Foot And Ankle Center |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1330 Citizens Blvd, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780773317 | NPI | - | NPPES |
DG4530 | Other | FL | RAILROAD MEDICARE GROUP |
P00436246 | Other | FL | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3114 (Florida) | Primary |
Provider Name | Alexander A Stirling |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487610978 PECOS PAC ID: 0941238562 Enrollment ID: I20050803000708 |
Provider Name | Karsten S Weber |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609898642 PECOS PAC ID: 8921030800 Enrollment ID: I20050831000810 |
Provider Name | Nicole D Klueh Hancock |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043217425 PECOS PAC ID: 2365341831 Enrollment ID: I20130125000028 |
Mailing Address | Practice Location Address |
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Lakeside Foot And Ankle Center 1330 Citizens Blvd, Suite 301, Leesburg, FL 34748-3959 Ph: (352) 728-1252 | Lakeside Foot And Ankle Center 1330 Citizens Blvd, Suite 301, Leesburg, FL 34748-3959 Ph: (352) 728-1252 |
Nicole D Hancock, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1330 Citizens Blvd, Suite 301, Leesburg, FL 34748 Phone: 352-728-1252 Fax: 352-728-0079 | |
Chad C Watkins, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 914 E Dixie Ave, Leesburg, FL 34748 Phone: 352-805-4317 Fax: 352-805-4298 | |
Nicholas Przystawski, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 913 E North Blvd, Ste B, Leesburg, FL 34748 Phone: 352-360-1360 Fax: 352-360-0686 | |
Alexander A. Stirling, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1330 Citizens Blvd, Suite 301, Leesburg, FL 34748 Phone: 352-728-1252 Fax: 352-728-0079 | |
Dr. Erik Otto Zimmermann, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1208 W Dixie Ave, Leesburg, FL 34748 Phone: 352-435-7849 Fax: 352-435-7904 | |
Central Florida Foot Care, P.a. Podiatrist Medicare: Medicare Enrolled Practice Location: 305 Childs St, Leesburg, FL 34748 Phone: 352-360-1360 Fax: 352-360-0686 | |
Dr. Karsten S. Weber, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1330 Citizens Blvd, Suite 301, Leesburg, FL 34748 Phone: 352-728-1252 Fax: 352-728-0079 |