MEDICARE: FRED A LECHELER, DPM, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1063680486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRED A LECHELER, DPM, PA

Provider Business Mailing Address
First Line	:	445 N CAUSEWAY
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32169-5266
Country	:	US
Telephone Number	:	386-427-4020
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 NORTH CAUSEWAY
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32169-7316
Country	:	US
Telephone Number	:	386-427-4020
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRED LECHELER
Credential	:	DPM
Telephone Number	:	386-427-4020

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	05/27/2016

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