MEDICARE: PASCARELLA, HOOVER, FINKELSTEIN, WAGNER, 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
1	213ES0131X	Foot Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1125200005	OTHER	FL	DMERC NSC

General Provider Information

NPI Number	:	1649585571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASCARELLA, HOOVER, FINKELSTEIN, WAGNER, DPM, PA

Provider Business Mailing Address
First Line	:	7350 SANDLAKE COMMONS BLVD STE 3329
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8031
Country	:	US
Telephone Number	:	407-345-5211
Fax Number	:	407-345-5220

Provider Business Practice Location Address
First Line	:	7350 SANDLAKE COMMONS BLVD STE 3329
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8031
Country	:	US
Telephone Number	:	407-345-5211
Fax Number	:	407-345-5220

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EUGENE PASCARELLA
Credential	:	DPM
Telephone Number	:	407-345-5211

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	03/17/2018

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Directions to “PASCARELLA, HOOVER, FINKELSTEIN, WAGNER, DPM, PA ” Practice Location

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