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	213ES0103X	Foot & Ankle Surgery Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1125200004	OTHER	FL	MEDICARE NSC

General Provider Information

NPI Number	:	1871037267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASCARELLA, HOOVER, FINKELSTEIN & WAGNER, DPM PA

Provider Business Mailing Address
First Line	:	661 E ALTAMONTE DRIVE
Second Line	:	SUITE 210
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701
Country	:	US
Telephone Number	:	407-339-7759
Fax Number	:	407-915-5588

Provider Business Practice Location Address
First Line	:	1307 S INTERNATIONAL PKWY
Second Line	:	SUITE 1061
City	:	LAKE MARY
State	:	FL
Zip	:	32746-1413
Country	:	US
Telephone Number	:	407-915-5587
Fax Number	:	407-915-5588

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EUGENE PASCARELLA
Credential	:	DPM
Telephone Number	:	407-339-7759

Provider Enumeration Date	:	12/05/2016
Last Update Date	:	05/22/2017

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

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