MEDICARE: DR. JOHN J ADLER D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2068	FL

General Provider Information

NPI Number	:	1306802921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN J ADLER D.P.M.

Provider Business Mailing Address
First Line	:	1722 DEL PRADO BLVD S
Second Line	:	SUITE 12
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5525
Country	:	US
Telephone Number	:	239-573-9200
Fax Number	:	239-573-9204

Provider Business Practice Location Address
First Line	:	1722 DEL PRADO BLVD S
Second Line	:	SUITE 12
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5525
Country	:	US
Telephone Number	:	239-573-9200
Fax Number	:	239-573-9204

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	06/19/2014

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