CAESAR S. DIVINO D.P.M. PA NPI 1811280894

NPI Information

CAESAR S. DIVINO D.P.M. PA is a podiatrist in Cabot, AR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CAESAR S. DIVINO D.P.M. PA NPI is 1811280894. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cabot Foot Clinic.

The provider's business location address is:

3065 HIGHWAY 367 S
SUITE 11
CABOT, AR
ZIP 72023-660
Phone: (501) 941-3797
Fax: (501) 941-7760

The provider's authorized official is Hector Solomon Divino .
The authorized official title is Office Manager and has the following contact phone number (501) 941-3797.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 5/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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