MEDICARE: ARIN JEREMY SHEINGOLD D.P.M.

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	SC006002	PA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3437	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PO3437	OTHER	FL	PODIATRY

General Provider Information

NPI Number	:	1942468749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIN JEREMY SHEINGOLD D.P.M.

Provider Business Mailing Address
First Line	:	1722 DEL PRADO BLVD S STE 12
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5523
Country	:	US
Telephone Number	:	239-573-9200
Fax Number	:	855-376-5040

Provider Business Practice Location Address
First Line	:	1722 DEL PRADO BLVD S STE 12
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5523
Country	:	US
Telephone Number	:	395-739-2002
Fax Number	:	855-376-5040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	03/28/2019

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