MEDICARE: EUGENE A. FOX DPMPA

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	213ES0103X	Foot & Ankle Surgery Podiatrist		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	:	1407853377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUGENE A. FOX DPMPA

Provider Business Mailing Address
First Line	:	4930 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3726
Country	:	US
Telephone Number	:	305-887-1403
Fax Number	:	305-887-0125

Provider Business Practice Location Address
First Line	:	4930 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3726
Country	:	US
Telephone Number	:	305-887-1403
Fax Number	:	305-887-0125

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EUGENE ARTHUR FOX
Credential	:	DPM
Telephone Number	:	305-887-1403

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/21/2022

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