Paul E Gregoline Dpm PA
Podiatrist, Foot & Ankle Surgery in Homestead, FL. Organization (NPI-2).
NPI number1114963006
StatusActive
Last updated in NPPESOct 8, 2009
Details
- NPI
- 1114963006
- Entity type
- Organization (NPI-2)
- Legal business name
- Paul E Gregoline Dpm PA
- Organization subpart
- No
- Enumeration date
- Jun 21, 2006
- Last updated
- Oct 8, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | PO2877 | FL | Yes |
Practice location
45 Nw 4th StHomestead, FL 33030-5941
Phone 786-259-3239 · Fax 305-246-8556
Mailing address
1865 S Ocean Dr15 I
Hallandale Beach, FL 33009-7603
Phone 954-457-5539 · Fax 954-457-5539
Authorized official
Paul Eugene Gregoline
Podiatric Surgeon
9547932387
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