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

Premium Podiatry Healthcare & Services, Inc

Organization Podiatrist · NPI 1831574557

Premium Podiatry Healthcare & Services, Inc is a Podiatrist in Miami, Florida. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
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

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 710-1971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E5133 (CA)

Record details

NPI number1831574557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Detournay — Owner/Podiatrist · (305) 710-1971
NPI enumeratedJuly 23, 2015
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020
Mailing address1235 Mariposa Ave Apt 2, Coral Gables, FL 33146-3252

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