MEDICARE: DR. JOSEPH MERENDINO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO2534	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00699369	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285618272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MERENDINO DPM

Provider Business Mailing Address
First Line	:	22023 STATE ROAD 7
Second Line	:	SUITE #101
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3401
Country	:	US
Telephone Number	:	561-353-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	22023 STATE ROAD 7
Second Line	:	SUITE #101
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3401
Country	:	US
Telephone Number	:	561-353-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	06/05/2009

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Directions to “ DR. JOSEPH MERENDINO DPM” Practice Location

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