Active NPI 1811963473 Individual Practitioner Male Practitioner

Dr. Kenneth P Pritchyk , DPM

Podiatrist • Lecanto, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Pritchyk, DPM is a certified Podiatrist practicing in Lecanto, FL. With approximately 29 years of clinical experience since graduating from Temple University School Of Podiatric Medicine in 1997, Dr. Pritchyk delivers high-quality medical care to the local community at 2385 N LECANTO HWY.

Dr. Pritchyk accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, trimming of dystrophic nails, any number, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2385 N Lecanto Hwy

Lecanto, FL 34461

Telephone 3527460077

Fax 3527461704

Associated Practice Facility / Clinic

🏢 Citrus Podiatry Center Pa Facility NPI 1588634968

Medicare Profile & Education

Medical School

Temple University School Of Podiatric Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Lecanto, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -0.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Lecanto, FL (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pritchyk (29 Years) 29 Yrs

Lecanto Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	9,523	149	$1.00	$0.13
G0127 Trimming of dystrophic nails, any number	1,520	490	$40.00	$12.24
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,396	457	$101.00	$77.48
99213 Established patient office or other outpatient visit, typically 15 minutes	906	600	$127.00	$88.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	457	457	$190.00	$108.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg	397	191	$1.00	$0.11
11721 Removal of fingernails or toenails, 6 or more nails	394	160	$79.00	$42.95
73620 X-ray of foot, 2 views	380	268	$45.00	$27.08
11042 Removal of skin and tissue, 20.0 sq cm or less	346	79	$204.00	$123.75
20550 Injection into tendon or ligament	329	186	$123.51	$59.72
17000 Destruction of skin growth	167	92	$117.00	$64.37
J1030 Injection, methylprednisolone acetate, 40 mg	96	70	$8.00	$6.35
97597 Removal of tissue from wound, 20.0 sq cm or less	85	55	$129.00	$95.63
99221 Initial hospital inpatient care per day, typically 30 minutes	74	64	$181.00	$81.93
73600 X-ray of ankle, 2 views	62	49	$51.00	$30.48
17003 Destruction of precancer skin growth, 2-14 growths	60	28	$10.00	$6.23
11730 Simple separation of fingernail or toenail from nail bed, first nail	48	45	$174.00	$110.05
11750 Permanent removal fingernail or toenail	32	28	$314.00	$144.40
28270 Incision of joint capsule of foot and toe	31	20	$870.00	$175.50
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	11	$72.00	$40.09
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	25	21	$1362.00	$573.58
28285 Correction of toe joint deformity	24	15	$949.00	$294.50
28122 Partial removal of foot or heel bone	22	15	$1073.00	$314.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$94.00	$51.68
28124 Partial removal of toe bone	12	11	$851.00	$183.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,515	476	$40.00	$12.50
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,344	427	$101.00	$78.84
99213 Established patient office or other outpatient visit, typically 15 minutes	790	540	$127.00	$88.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	496	496	$190.00	$110.40
73620 X-ray of foot, 2 views	403	265	$45.00	$27.34
J1030 Injection, methylprednisolone acetate, 40 mg	387	202	$8.00	$7.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg	387	202	$1.00	$0.13
11721 Removal of fingernails or toenails, 6 or more nails	338	130	$79.00	$43.20
20550 Injection into tendon or ligament	326	195	$120.14	$60.28
11042 Removal of skin and tissue, 20.0 sq cm or less	281	64	$204.00	$125.16
17000 Destruction of skin growth	111	72	$117.00	$64.47
73600 X-ray of ankle, 2 views	85	54	$51.00	$31.41
99221 Initial hospital inpatient care per day, typically 30 minutes	65	55	$181.00	$83.49
97597 Removal of tissue from wound, 20.0 sq cm or less	62	37	$129.00	$95.65
11730 Simple separation of fingernail or toenail from nail bed, first nail	61	61	$174.00	$112.15
17003 Destruction of precancer skin growth, 2-14 growths	31	15	$10.00	$6.36
11750 Permanent removal fingernail or toenail	28	18	$314.00	$130.15
28270 Incision of joint capsule of foot and toe	28	19	$870.00	$165.20
28122 Partial removal of foot or heel bone	27	19	$1073.00	$323.46
28285 Correction of toe joint deformity	25	18	$949.00	$289.68
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	19	$1362.00	$592.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	14	$94.00	$50.61
64455 Injection of anesthetic and/or steroid drug into foot nerve	15	11	$85.00	$49.08
28299 Correction of bunion with 2 areas of realignment	13	13	$1616.00	$588.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,474	465	$40.00	$12.48
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,321	411	$101.00	$80.77
99213 Established patient office or other outpatient visit, typically 15 minutes	815	557	$127.00	$89.96
73620 X-ray of foot, 2 views	489	335	$45.00	$27.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	468	468	$190.00	$112.07
J1030 Injection, methylprednisolone acetate, 40 mg	396	212	$8.00	$6.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg	396	212	$1.00	$0.12
20550 Injection into tendon or ligament	353	208	$115.71	$59.29
11721 Removal of fingernails or toenails, 6 or more nails	328	124	$79.00	$43.66
11042 Removal of skin and tissue, 20.0 sq cm or less	296	78	$204.00	$128.75
17000 Destruction of skin growth	139	93	$117.00	$65.31
73600 X-ray of ankle, 2 views	90	62	$51.00	$30.29
99221 Initial hospital inpatient care per day, typically 30 minutes	65	59	$181.00	$101.09
11730 Simple separation of fingernail or toenail from nail bed, first nail	59	56	$174.00	$114.27
17003 Destruction of precancer skin growth, 2-14 growths	48	30	$10.00	$6.52
97597 Removal of tissue from wound, 20.0 sq cm or less	40	26	$129.00	$100.38
28270 Incision of joint capsule of foot and toe	31	20	$870.00	$166.67
11750 Permanent removal fingernail or toenail	28	24	$314.00	$149.94
28285 Correction of toe joint deformity	25	18	$949.00	$261.34
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	24	22	$1362.00	$595.02
28122 Partial removal of foot or heel bone	22	18	$1121.77	$314.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	15	$94.00	$52.24
28820 Amputation of toe at joint between the forefoot and toes	15	13	$1022.00	$104.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$70.00	$38.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,356	410	$40.00	$11.79
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,343	407	$101.00	$78.53
99213 Established patient office or other outpatient visit, typically 15 minutes	809	557	$127.00	$90.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	434	434	$190.00	$112.54
73620 X-ray of foot, 2 views	422	279	$44.93	$27.78
11721 Removal of fingernails or toenails, 6 or more nails	396	156	$79.00	$44.44
11042 Removal of skin and tissue, 20.0 sq cm or less	351	86	$204.00	$129.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg	285	155	$1.00	$0.15
J1030 Injection, methylprednisolone acetate, 40 mg	285	155	$8.00	$5.65
20550 Injection into tendon or ligament	252	153	$117.08	$58.31
17000 Destruction of skin growth	126	82	$117.00	$65.14
73600 X-ray of ankle, 2 views	93	70	$50.26	$31.00
11730 Simple separation of fingernail or toenail from nail bed, first nail	64	59	$174.00	$115.27
99221 Initial hospital inpatient care per day, typically 30 minutes	50	41	$181.00	$100.92
97597 Removal of tissue from wound, 20.0 sq cm or less	43	28	$129.00	$98.83
17003 Destruction of precancer skin growth, 2-14 growths	39	21	$10.00	$6.31
11750 Permanent removal fingernail or toenail	36	33	$314.00	$152.46
28270 Incision of joint capsule of foot and toe	30	18	$870.00	$164.68
28285 Correction of toe joint deformity	30	18	$949.00	$251.11
28122 Partial removal of foot or heel bone	29	21	$1073.00	$320.46
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	25	24	$1362.00	$616.15
73610 X-ray of ankle, minimum of 3 views	19	15	$54.00	$35.77
28820 Amputation of toe at joint between the forefoot and toes	16	14	$1022.00	$94.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$70.00	$38.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,449	452	$40.00	$11.79
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,436	450	$101.00	$73.69
99213 Established patient office or other outpatient visit, typically 15 minutes	772	532	$127.00	$75.51
11042 Removal of skin and tissue, 20.0 sq cm or less	484	93	$204.00	$126.59
73620 X-ray of foot, 2 views	482	321	$45.00	$27.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	442	442	$190.00	$108.70
J1030 Injection, methylprednisolone acetate, 40 mg	347	198	$8.00	$6.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg	346	198	$1.00	$0.13
20550 Injection into tendon or ligament	323	197	$112.15	$57.19
11721 Removal of fingernails or toenails, 6 or more nails	262	114	$79.00	$46.23
17000 Destruction of skin growth	108	63	$117.00	$65.37
73600 X-ray of ankle, 2 views	104	65	$50.65	$31.04
99221 Initial hospital inpatient care per day, typically 30 minutes	71	63	$181.00	$104.72
11730 Simple separation of fingernail or toenail from nail bed, first nail	53	52	$174.00	$109.72
97597 Removal of tissue from wound, 20.0 sq cm or less	47	29	$129.00	$94.90
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	33	31	$1362.00	$631.60
28122 Partial removal of foot or heel bone	31	24	$1073.00	$274.97
17003 Destruction of precancer skin growth, 2-14 growths	29	13	$10.00	$5.91
28270 Incision of joint capsule of foot and toe	29	20	$870.00	$177.44
11750 Permanent removal fingernail or toenail	29	23	$314.00	$144.06
28285 Correction of toe joint deformity	27	15	$949.00	$257.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$70.00	$36.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$94.00	$53.74
28124 Partial removal of toe bone	11	11	$851.00	$172.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,712	505	$40.00	$11.93
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,683	498	$101.00	$65.91
99213 Established patient office or other outpatient visit, typically 15 minutes	805	522	$127.00	$73.62
73620 X-ray of foot, 2 views	527	333	$44.89	$26.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	458	458	$190.00	$108.40
11042 Removal of skin and tissue, 20.0 sq cm or less	394	80	$204.00	$119.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg	353	185	$1.00	$0.12
J1030 Injection, methylprednisolone acetate, 40 mg	351	184	$8.00	$6.31
20550 Injection into tendon or ligament	306	184	$119.75	$56.77
11721 Removal of fingernails or toenails, 6 or more nails	213	86	$79.00	$45.60
73600 X-ray of ankle, 2 views	141	84	$49.21	$29.22
17000 Destruction of skin growth	117	68	$117.00	$64.59
11730 Simple separation of fingernail or toenail from nail bed, first nail	67	66	$174.00	$105.46
99221 Initial hospital inpatient care per day, typically 30 minutes	52	49	$181.00	$101.94
97597 Removal of tissue from wound, 20.0 sq cm or less	48	36	$129.00	$87.27
28285 Correction of toe joint deformity	38	11	$949.00	$230.85
28270 Incision of joint capsule of foot and toe	36	11	$918.33	$177.10
17003 Destruction of precancer skin growth, 2-14 growths	33	19	$10.00	$5.68
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	12	$72.00	$40.83
11750 Permanent removal fingernail or toenail	28	25	$314.00	$149.69
28122 Partial removal of foot or heel bone	27	19	$1073.00	$313.91
29580 Strapping, unna boot	25	11	$93.00	$57.77
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	20	$1362.00	$609.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$94.00	$53.03
73630 X-ray of foot, minimum of 3 views	17	17	$50.00	$30.66
29515 Application of short leg splint from calf to foot	16	12	$127.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,831	536	$40.00	$11.97
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,771	522	$101.00	$57.49
99213 Established patient office or other outpatient visit, typically 15 minutes	726	498	$127.00	$72.08
73620 X-ray of foot, 2 views	669	385	$45.00	$25.49
11042 Removal of skin and tissue, 20.0 sq cm or less	451	86	$204.00	$116.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	424	424	$190.00	$107.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg	307	169	$1.00	$0.12
J1030 Injection, methylprednisolone acetate, 40 mg	307	169	$8.00	$6.66
20550 Injection into tendon or ligament	272	162	$118.90	$54.79
11721 Removal of fingernails or toenails, 6 or more nails	158	67	$79.00	$45.04
73600 X-ray of ankle, 2 views	131	76	$50.73	$28.60
17000 Destruction of skin growth	116	69	$117.00	$64.88
99221 Initial hospital inpatient care per day, typically 30 minutes	56	55	$181.00	$102.95
11057 Removal of noncancer thickened skin growth, more than 4 growths	54	22	$114.00	$65.76
29580 Strapping, unna boot	53	24	$94.75	$59.82
11750 Permanent removal fingernail or toenail	46	36	$314.00	$137.99
17003 Destruction of precancer skin growth, 2-14 growths	42	19	$10.00	$5.27
28270 Incision of joint capsule of foot and toe	37	22	$870.00	$170.19
11730 Simple separation of fingernail or toenail from nail bed, first nail	37	35	$174.00	$104.44
28122 Partial removal of foot or heel bone	34	24	$1073.00	$316.61
28285 Correction of toe joint deformity	32	21	$949.00	$221.98
28270 Incision of joint capsule of foot and toe	20	16	$870.00	$248.43
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	20	$1362.00	$629.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	17	$70.00	$39.63
28285 Correction of toe joint deformity	17	14	$949.00	$491.99
28299 Correction of bunion with 2 areas of realignment	15	15	$1723.73	$592.93
28124 Partial removal of toe bone	14	11	$851.00	$167.24
73630 X-ray of foot, minimum of 3 views	12	12	$50.00	$28.61
29515 Application of short leg splint from calf to foot	11	11	$127.00	$25.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,931	574	$40.00	$11.32
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,749	539	$101.00	$56.59
99213 Established patient office or other outpatient visit, typically 15 minutes	683	478	$127.00	$71.69
73620 X-ray of foot, 2 views	620	366	$44.95	$25.05
11042 Removal of skin and tissue, 20.0 sq cm or less	496	79	$204.00	$114.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	392	392	$190.00	$107.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg	384	209	$1.00	$0.12
J1030 Injection, methylprednisolone acetate, 40 mg	382	208	$8.00	$5.71
20550 Injection into tendon or ligament	359	206	$112.31	$53.13
11057 Removal of noncancer thickened skin growth, more than 4 growths	160	59	$114.00	$64.15
17000 Destruction of skin growth	106	63	$117.00	$65.28
73600 X-ray of ankle, 2 views	100	65	$50.28	$28.26
11721 Removal of fingernails or toenails, 6 or more nails	97	38	$79.00	$44.32
11750 Permanent removal fingernail or toenail	63	52	$314.00	$136.97
29580 Strapping, unna boot	60	22	$100.75	$40.62
99221 Initial hospital inpatient care per day, typically 30 minutes	49	42	$181.00	$102.56
11730 Simple separation of fingernail or toenail from nail bed, first nail	40	37	$174.00	$101.84
28270 Incision of joint capsule of foot and toe	36	21	$894.17	$169.62
29515 Application of short leg splint from calf to foot	36	36	$127.00	$25.32
28122 Partial removal of foot or heel bone	31	20	$1107.61	$304.91
28285 Correction of toe joint deformity	30	15	$949.00	$223.45
29515 Application of short leg splint from calf to foot	30	23	$127.00	$67.10
17003 Destruction of precancer skin growth, 2-14 growths	30	16	$10.00	$5.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	12	$70.00	$39.48
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	23	21	$1362.00	$591.30
28270 Incision of joint capsule of foot and toe	22	18	$870.00	$247.27
28124 Partial removal of toe bone	20	14	$851.00	$170.28
28285 Correction of toe joint deformity	20	15	$949.00	$457.31
73630 X-ray of foot, minimum of 3 views	19	19	$50.00	$28.22
73610 X-ray of ankle, minimum of 3 views	15	14	$54.00	$30.64
28299 Correction of bunion with 2 areas of realignment	13	13	$1740.31	$589.53
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$1362.00	$762.98
97597 Removal of tissue from wound, 20.0 sq cm or less	11	11	$129.00	$72.97

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License FL PO02787

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

340119700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Edward Daly , DPM

Podiatrist

NPI 1245204452

Doctor of Podiatric Medicine

Ellen Daly , ARNP

Nurse Practitioner - Adult Health

NPI 1649600503

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2008

Registered at 2385 N LECANTO HWY, LECANTO, FL 34461 (Tel: 3527460077)

📍

Updated Business Mailing Address August 20, 2008

Registered at PO BOX 1120, LECANTO, FL 34460 (Tel: 3527460077)

👤

Provider Name / Credentials Updated August 20, 2008

Recorded as KENNETH PRITCHYK, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2008

Podiatrist (License #PO02787 in FL)

🟢

Initial NPI Registration & Enumeration February 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811963473

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 24, 2006

Last Update: August 20, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1120

Lecanto, FL 34460

Phone: 3527460077

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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