1174600118 NPI number — DR. HOWARD B FINKELSTEIN DPM

Table of content: DR. HOWARD B FINKELSTEIN DPM (NPI 1174600118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174600118 NPI number — DR. HOWARD B FINKELSTEIN DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINKELSTEIN
Provider First Name:
HOWARD
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174600118
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
661 EAST ALTAMONTE DRIVE
Provider Second Line Business Mailing Address:
FOOT AND ANKLE ASSOCIATES OF FLORIDA SUITE 210
Provider Business Mailing Address City Name:
ALTAMONTE SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-339-7759
Provider Business Mailing Address Fax Number:
407-830-0024

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
661 EAST ALTAMONTE DRIVE
Provider Second Line Business Practice Location Address:
FOOT AND ANKLE ASSOCIATES OF FLORIDA SUITE 210
Provider Business Practice Location Address City Name:
ALTAMONTE SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-339-7759
Provider Business Practice Location Address Fax Number:
407-830-0024
Provider Enumeration Date:
11/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  PO1581 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 029736400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 111372400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".