Doctor Name: | DR. CRAIG SAPENOFF |
NPI Number: | 1013919802 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PO2872 |
Business Practice Address: | 4678 Okeechobee Blvd West Palm Beach, FL - 334174624 |
Business Phone Number: | 5616891414 |
Business Fax Number: | 5616891993 |
Mailing Address: | 4678 Okeechobee Blvd, WEST PALM BEACH |
State: | FL |
Postal Code: | 334174624 |
Phone Number: | 5616891414 |
Fax Number: | 5616891993 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 02/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | PO2872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |