Central Florida Foot and Ankle
NPI 1093809097ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Winter Haven, FL
Podiatrist, Foot & Ankle Surgery in Winter Haven, Florida, registered in NPPES in October 2006. The authorized official on file is Tatiana A. Wellens-Bruschayt, D.P.M, PHD, President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1093809097 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Mar 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | PO2760 | FL |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO2804 | FL |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO3070 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Podiatrist, Foot & Ankle Surgery providers in Winter Haven
- 1902428972
- 1710966361
- 1366421059
- 1154775153