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NPI Code Detail

MEDICARE: CORY HAIMON, DPM PA

MEDICARE: CORY HAIMON, DPM 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
1213E00000XPodiatristPO1689FL
2213E00000XPodiatristPO1592FL

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 : 1477810281
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORY HAIMON, DPM PA
Provider Business Mailing Address
First Line : 7431 W ATLANTIC AVE
Second Line : STE 33
City : DELRAY BEACH
State : FL
Zip : 33446-3512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1054 GATEWAY BLVD
Second Line : STE 110
City : BOYNTON BEACH
State : FL
Zip : 33426-8301
Country : US
Telephone Number : 561-496-6900
Fax Number : 561-496-5348
Authorized Official
Title or Position : PRESIDENT
Name : DR. CORY B HAIMON
Credential : DPM
Telephone Number : 561-496-6900
Provider Enumeration Date : 04/18/2012
Last Update Date : 06/07/2013

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Directions to “CORY HAIMON, DPM PA ” Practice Location

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