OrganizationActive
Foot, Ankle & Leg Specialists
NPI 1457534802 · Non-Pharmacy Dispensing Site · Tamarac, FL
Provider details
- NPI number
- 1457534802
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Augustine Bollo, Physician(954) 389-5900
- License
- PO02570 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7447 N University Dr
Tamarac, FL 33321-2970
Phone: (954) 389-5900
Street-level locationGet directions
Mailing address
3607 Old Conejo Rd
Thousand Oaks, CA 91320-2123
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2007-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.