Healthcare Provider Details

I. General information

NPI: 1649585571
Provider Name (Legal Business Name): PASCARELLA, HOOVER, FINKELSTEIN, WAGNER, DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 SANDLAKE COMMONS BLVD STE 3329
ORLANDO FL
32819-8031
US

IV. Provider business mailing address

7350 SANDLAKE COMMONS BLVD STE 3329
ORLANDO FL
32819-8031
US

V. Phone/Fax

Practice location:
  • Phone: 407-345-5211
  • Fax: 407-345-5220
Mailing address:
  • Phone: 407-345-5211
  • Fax: 407-345-5220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. EUGENE PASCARELLA
Title or Position: OWNER
Credential: DPM
Phone: 407-345-5211