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NPI Code Detail

MEDICARE: FAMILY PODIATRY

MEDICARE: FAMILY PODIATRY
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
1213E00000XPodiatristPO 2501FL

Other Identifiers

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

General Provider Information

NPI Number : 1134408164
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PODIATRY
Provider Business Mailing Address
First Line : 500 NW 43D ST.
Second Line : 2
City : GAINESVILLE
State : FL
Zip : 32607-6126
Country : US
Telephone Number : 352-376-5112
Fax Number : 352-376-0320
Provider Business Practice Location Address
First Line : 500 NW 43RD ST
Second Line : SUITE 2
City : GAINESVILLE
State : FL
Zip : 32607-6126
Country : US
Telephone Number : 352-376-5112
Fax Number : 352-376-0320
Authorized Official
Title or Position : PRESIDENT
Name : DR. SCOTT KOPPEL
Credential : DPM
Telephone Number : 352-376-5112
Provider Enumeration Date : 08/08/2011
Last Update Date : 06/04/2014

Similar Medicare Providers

1295732741 — DR. SCOTT KOPPEL D.P.M.
Practice Location Address:
500 NW 43RD STREET , STE 2
GAINESVILLE, FL
32607-6126
Practice Phone: 352-376-5112
Practice Fax: 352-376-0320
1245989359 — DR. KADEN DEVOE WOOLF DPM
Practice Location Address:
500 NW 43RD ST STE 2
GAINESVILLE, FL
32607-6126
Practice Phone: 352-376-5112
Practice Fax:
1699620138 — DANIEL AVITAL
Practice Location Address:
3527 SW 20TH AVE
GAINESVILLE, FL
32607-4504
Practice Phone: 201-637-3236
Practice Fax:
1003761289 — KELCI CADOGAN RN
Practice Location Address:
7415 NW 4TH BLVD STE 20
GAINESVILLE, FL
32607-2176
Practice Phone: 352-756-4147
Practice Fax:
1265023634 — JASON FLOYD
Practice Location Address:
3601 SW 2ND AVE STE UANDY
GAINESVILLE, FL
32607-2803
Practice Phone: 561-809-5074
Practice Fax: 352-727-7935
1811859945 — MEAGAN ELIZABETH BROPHY
Practice Location Address:
1609 SW 86TH TER
GAINESVILLE, FL
32607-3492
Practice Phone: 757-839-2030
Practice Fax:

Directions to “FAMILY PODIATRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.