Certified Foot & Ankle Specialists
Non-pharmacy Dispensing Site
4879 Coconut Creek Pkwy, Coconut Creek
Florida, 33063-3944
954-979-0505 954-979-4298
Certified Foot & Ankle Specialists is a Non-pharmacy Dispensing Site in Coconut Creek, Florida. It is located at 4879 Coconut Creek Pkwy, Coconut Creek and it's customer support contact number is 954-979-0505. The authorized person of Certified Foot & Ankle Specialists is Kyle Kinmon, MD who is Owner of the pharmacy and his contact number is 561-336-1703. Certified Foot & Ankle Specialists accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Certified Foot & Ankle Specialists is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Certified Foot & Ankle Specialists type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Certified Foot & Ankle Specialists |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 4879 Coconut Creek Pkwy, Coconut Creek,
Florida, 33063-3944 |
| Phone: | 954-979-0505 |
| Fax: | 954-979-4298 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kyle Kinmon |
| Credentials: | MD |
| Position: | Owner |
| Contact Number: | 561-336-1703 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1932631181 |
| NPI Enumeration Date: | 28 Mar, 2017 |
| NPI Last Update On: | 09 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Certified Foot & Ankle Specialists are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | | Primary | |
| Foot & Ankle Surgery | PO3007 | Florida | Secondary | |
Medicare Enrollment:
Certified Foot & Ankle Specialists is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7214080282 | O20170412000792 | Certified Foot & Ankle Specialists | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1601 Clint Moore Rd, Suite 130
Boca Raton, Florida |
| Zip: | 33487-2768 |
| Phone Number: | 561-995-0229 |
| Fax Number: | 561-989-0775 |
Patients can reach Certified Foot & Ankle Specialists at
4879 Coconut Creek Pkwy, Coconut Creek, Florida or can
call on customer care at 954-979-0505.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.