Organization Name: | PODICARE SERVICES INC. |
NPI Number: | 1306147095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY L GALITZ (CHAIRMAN) |
Mailing Address: | 3440 Hollywood Blvd Suite 460 Hollywood |
State: | FL US |
Postal Code: | 330216927 |
Phone Number: | 9549237440 |
Fax Number: | 9549231299 |
NPI Enumeration Date: | 11/11/2010 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME49450 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |