Healthcare Provider Details

I. General information

NPI: 1386935070
Provider Name (Legal Business Name): GEOFFREY M DAY DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2011
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 S OCEAN BLVD APT 425
PALM BEACH FL
33480-5952
US

IV. Provider business mailing address

3450 S OCEAN BLVD APT 425
PALM BEACH FL
33480-5952
US

V. Phone/Fax

Practice location:
  • Phone: 231-675-3958
  • Fax:
Mailing address:
  • Phone: 231-675-3958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number5901001667
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GEOFFREY M DAY
Title or Position: OWNER
Credential:
Phone: 231-675-3958