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NPI Code Detail

MEDICARE: RONALD S OBERMAN D P M PA

MEDICARE: RONALD S OBERMAN D P M 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
1213E00000XPodiatristPO2135FL

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 : 1366541757
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD S OBERMAN D P M PA
Provider Business Mailing Address
First Line : 1891 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1401
Country : US
Telephone Number : 945-421-9600
Fax Number : 954-421-8910
Provider Business Practice Location Address
First Line : 1891 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1401
Country : US
Telephone Number : 945-421-9600
Fax Number : 954-421-8910
Authorized Official
Title or Position : PRESIDENT
Name : DR. RONALD STUART OBERMAN
Credential : D.P.M.
Telephone Number : 954-421-9600
Provider Enumeration Date : 09/21/2006
Last Update Date : 02/18/2008

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Directions to “RONALD S OBERMAN D P M PA ” Practice Location

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