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

Lake Wales Foot and Ankle Care, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1770930919

Lake Wales Foot and Ankle Care, Inc is a Foot & Ankle Surgery Podiatrist in Lake Wales, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

408 S 1st St Highland Mdws
Lake Wales, FL 33853-4146
Phone: (863) 676-1710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1770930919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prerna Mall — President · (863) 676-1710
NPI enumeratedMay 18, 2016
Last updated in NPPESSeptember 26, 2016
Mailing address801 Woodlark Dr, Highland Meadows, Haines City, FL 33844-7745

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