MEDICARE: PGA FOOT AND ANKLE 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	332B00000X	Durable Medical Equipment & Medical Supplies	PO2182	FL

General Provider Information

NPI Number	:	1245403260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PGA FOOT AND ANKLE PA

Provider Business Mailing Address
First Line	:	5610 PGA BLVD
Second Line	:	STE 212
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3838
Country	:	US
Telephone Number	:	561-776-7047
Fax Number	:	561-776-7049

Provider Business Practice Location Address
First Line	:	5610 PGA BLVD
Second Line	:	STE 212
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3838
Country	:	US
Telephone Number	:	561-776-7047
Fax Number	:	561-776-7049

Authorized Official
Title or Position	:	OWNER
Name	:	DR. E CHARISSE DUNN
Credential	:	DPM
Telephone Number	:	561-776-7047

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	06/02/2008

Similar Medicare Providers

1689642993 — DR. RICARDO A. LEANO MD
Practice Location Address:

5610 PGA BLVD STE 210
PALM BEACH GARDENS, FL
33418-3838

Practice Phone: 561-248-1166
Practice Fax: 561-781-8020

1124086624 — MR. RALPH B MONSERRAT A.P., PH.D.
Practice Location Address:

5610 PGA BLVD , STE. 210
PALM BEACH GARDENS, FL
33418-3838

Practice Phone: 561-346-4814
Practice Fax:

1245347582 — DR. E CHARISSE DUNN DPM
Practice Location Address:

5610 PGA BLVD , STE 212
PALM BEACH GARDENS, FL
33418-3838

Practice Phone: 561-776-7047
Practice Fax: 561-776-7049

1427152792 — MRS. SYLVIA KARAKASH BARZA M.D.
Practice Location Address:

5610 PGA BLVD , 214
PALM BEACH GARDENS, FL
33418-3838

Practice Phone: 561-627-5818
Practice Fax: 561-627-4330

1215019336 — DR. DORU DIMITRI BARZA M.D.
Practice Location Address:

5610 PGA BLVD , #214
PALM BEACH GARDENS, FL
33418-3838

Practice Phone: 561-627-5818
Practice Fax: 561-627-4330

1699984955 — DR. (HOWARD) KEITH LATHAM AP
Practice Location Address:

5610 PGA BLVD , SUITE 210
PALM BEACH GARDENS, FL
33418-3838

Practice Phone: 561-741-4446
Practice Fax: 561-691-1772

Directions to “PGA FOOT AND ANKLE PA ” Practice Location

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