Healthcare Provider Details

I. General information

NPI: 1821100975
Provider Name (Legal Business Name): EUGENE M PASCARELLA JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 EAST ALTAMONTE DRIVE FOOT AND ANKLE ASSOCIATES OF FLORIDA SUITE 210
ALTAMONTE SPRINGS FL
32701
US

IV. Provider business mailing address

661 EAST ALTAMONTE DRIVE FOOT AND ANKLE ASSOCIATES OF FLORIDA SUITE 210
ALTAMONTE SPRINGS FL
32701
US

V. Phone/Fax

Practice location:
  • Phone: 407-339-7759
  • Fax: 407-830-0024
Mailing address:
  • Phone: 407-339-7759
  • Fax: 407-830-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO1464
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: