Lake Wales Foot and Ankle Care, Inc
NPI 1770930919 · Foot & Ankle Surgery Podiatrist · Lake Wales, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Wales Foot and Ankle Care, Inc is a Foot & Ankle Surgery Podiatrist organization in Lake Wales, FL (NPI 1770930919).
Provider details
- NPI number
- 1770930919
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Prerna Mall, President(863) 676-1710
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2016-09-26
Frequently asked questions
- What is Lake Wales Foot and Ankle Care, Inc's NPI number?
- Lake Wales Foot and Ankle Care, Inc's National Provider Identifier (NPI) is 1770930919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Wales Foot and Ankle Care, Inc?
- Lake Wales Foot and Ankle Care, Inc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Lake Wales Foot and Ankle Care, Inc located?
- Lake Wales Foot and Ankle Care, Inc's practice location on file with NPPES is 408 S 1st St, Lake Wales, FL 33853-4146.
- What is Lake Wales Foot and Ankle Care, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Wales Foot and Ankle Care, Inc is (863) 676-1710.
- Does Lake Wales Foot and Ankle Care, Inc accept Medicare?
- Lake Wales Foot and Ankle Care, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Wales Foot and Ankle Care, Inc?
- The authorized official listed on Lake Wales Foot and Ankle Care, Inc's NPPES record is Prerna Mall, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Wales Foot and Ankle Care, Inc's NPI active?
- Yes — Lake Wales Foot and Ankle Care, Inc's NPI (1770930919) is active in the NPPES registry as of the last update on 2016-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.