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NPI Code Detail

MEDICARE: DR. JOSEPH MICHAEL PUSATERI D.P.M.

MEDICARE: DR. JOSEPH MICHAEL PUSATERI 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
1213ES0103XFoot & Ankle Surgery PodiatristSC006271PA
2213ES0103XFoot & Ankle Surgery PodiatristPO3667FL

General Provider Information

NPI Number : 1669769519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH MICHAEL PUSATERI D.P.M.
Provider Business Mailing Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-433-8999
Provider Business Practice Location Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-433-8999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 03/13/2017

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