MEDICARE: DR. JOHN J. ADLER 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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2995	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2068	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	65161Z	OTHER		MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	65161	OTHER		PROVIDER BLUE CROSS
3	1306802921	OTHER	FL	NPI

General Provider Information

NPI Number	:	1679751549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JOHN J. ADLER PA

Provider Business Mailing Address
First Line	:	1722 DEL PRADO BLVD S
Second Line	:	SUITE 12
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5525
Country	:	US
Telephone Number	:	239-573-9200
Fax Number	:	855-376-5040

Provider Business Practice Location Address
First Line	:	1722 DEL PRADO BLVD S
Second Line	:	SUITE 12
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5525
Country	:	US
Telephone Number	:	239-573-9200
Fax Number	:	855-376-5040

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN J ADLER
Credential	:	DPM
Telephone Number	:	239-573-9200

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	06/24/2014

Similar Medicare Providers

1306802921 — DR. JOHN J ADLER D.P.M.
Practice Location Address:

1722 DEL PRADO BLVD S , SUITE 12
CAPE CORAL, FL
33990-5525

Practice Phone: 239-573-9200
Practice Fax: 239-573-9204

1174562326 — ROBERT PERKINS
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CAPE CORAL, FL
33990-5525

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1295956530 — DR. CHARLES ALLAN SOFFER DC
Practice Location Address:

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CAPE CORAL, FL
33990-5525

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1760872139 — JENNIFER NICOLE WALLEN HIS
Practice Location Address:

1722 DEL PRADO BLVD S , STE 2
CAPE CORAL, FL
33990-5525

Practice Phone: 239-458-7900
Practice Fax: 239-458-9977

1801307699 — ANGEL LUIS PENATE
Practice Location Address:

5525 SW 3RD ST
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33134-1021

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Practice Fax:

1801657663 — JAMES MEDAL
Practice Location Address:

601 SE 13TH TER
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33990-2194

Practice Phone: 305-876-5179
Practice Fax:

Directions to “DR. JOHN J. ADLER PA ” Practice Location

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