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

Mark Miceli

Organization Foot & Ankle Surgery Podiatrist · NPI 1275693509

Mark Miceli is a Foot & Ankle Surgery Podiatrist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

8301 University Exec Park Dr Ste 112
Charlotte, NC 28262-3593
Phone: (704) 547-0000
Fax: (704) 547-0460
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 302 (NC)

Record details

NPI number1275693509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Miceli — Owner · (704) 547-0000
NPI enumeratedDecember 8, 2006
Last updated in NPPESFebruary 14, 2008
Mailing address8301 University Exec Park Dr, Suite 112, Charlotte, NC 28262-1366

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