| Organization Name: | CAPITAL FOOT & ANKLE CENTERS, PC |
| NPI Number: | 1104941400 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH VINCENT GONZALEZ (PRESIDENT) |
| Mailing Address: | 2270 Jolly Oak Rd Suite 1 Okemos |
| State: | MI US |
| Postal Code: | 488644528 |
| Phone Number: | 5178538951 |
| Fax Number: | 5179135996 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | JG002023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |