Healthcare Provider Details

I. General information

NPI: 1023923786
Provider Name (Legal Business Name): MARK E HALL DPM P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3389B W WOOLBRIGHT RD
BOYNTON BEACH FL
33436-7245
US

IV. Provider business mailing address

7556 LAKE WORTH RD STE 104
LAKE WORTH FL
33467-2503
US

V. Phone/Fax

Practice location:
  • Phone: 561-966-5060
  • Fax: 561-966-4489
Mailing address:
  • Phone: 561-966-5060
  • Fax: 561-966-4489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK E HALL
Title or Position: PRESIDENT
Credential: DPM
Phone: 561-966-5060