Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Certified Foot & Ankle Specialists

Organization Foot & Ankle Surgery Podiatrist · NPI 1932631181

Certified Foot & Ankle Specialists is a Foot & Ankle Surgery Podiatrist in Coconut Creek, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4879 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944
Phone: (954) 979-0505
Fax: (954) 979-4298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO3007 (FL)

Record details

NPI number1932631181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Kinmon — Owner · (561) 336-1703
NPI enumeratedMarch 28, 2017
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address1601 Clint Moore Rd, Suite 130, Boca Raton, FL 33487-2768

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