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NPI Code Detail

MEDICARE: CHRISTOPHER PALADINO DPM

MEDICARE:   CHRISTOPHER  PALADINO  DPM
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
1213E00000XPodiatristPO0002435FL
2213ES0103XFoot & Ankle Surgery PodiatristPO0002435FL

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 : 1689674178
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER PALADINO DPM
Provider Business Mailing Address
First Line : 28089 VANDERBILT DRIVE
Second Line : #104
City : BONITA SPRINGS
State : FL
Zip : 34134-7521
Country : US
Telephone Number : 239-498-1176
Fax Number : 239-498-5877
Provider Business Practice Location Address
First Line : 28089 VANDERBILT DR
Second Line : #104
City : BONITA SPRINGS
State : FL
Zip : 34134-7521
Country : US
Telephone Number : 239-498-1176
Fax Number : 239-498-5877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 03/08/2011

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Directions to “ CHRISTOPHER PALADINO DPM” Practice Location

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