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General NPI Number Information
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NPI Number | 1568438851
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Entity Type | Individual
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Provider Name | DANIEL J CAVOLO D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 850 BRAINARD RD
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City | HIGHLAND HTS
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State | OH
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Zip | 44143-3146
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Country | US
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Telephone | 440-473-0550
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Fax | 440-473-1266
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Provider Business Mailing Address
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Address Line | 850 BRAINARD RD
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City | HIGHLAND HTS
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State | OH
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Zip | 44143-3146
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Country | US
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Telephone | 440-473-0550
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Fax | 440-473-1266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36001699C
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License Number State | OH
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