OrganizationActive
Advanced Foot & Ankle Center, PC
NPI 1538237474 · Podiatrist · Mooresville, NC
Provider details
- NPI number
- 1538237474
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Bloom, Owner(704) 662-8336
- License
- 001752814 (NC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
137 Professional Park Dr.
Suite C
Mooresville, NC 28117
Phone: (704) 662-8336
Fax: (704) 662-8525
Approximate (ZIP-level) locationGet directions
Mailing address
137 Professional Park Dr
Mooresville, NC 28117-6540
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2010-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.