MEDICARE: DR. JOSEPH PULEO D.P.M

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	PO2176	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093763013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH PULEO D.P.M

Provider Business Mailing Address
First Line	:	730 NW 44TH TER
Second Line	:	#103
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9280
Country	:	US
Telephone Number	:	954-439-5704
Fax Number	:

Provider Business Practice Location Address
First Line	:	1744 NE 9TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-4443
Country	:	US
Telephone Number	:	954-439-5704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	12/09/2010

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