Provider Type Icon

HAL BOZOF DPM PA NPI 1134212012


NPI Information

NPI: 1134212012
Provider Name: HAL BOZOF, DPM, PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2540 WINKLER AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 278-4100
Get Directions

HAL BOZOF, DPM, PA is a podiatrist in Fort Myers, FL. 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. HAL BOZOF, DPM, PA NPI is 1134212012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2540 WINKLER AVE
FORT MYERS, FL
ZIP 33901-338
Phone: (239) 278-4100
Fax: (239) 278-3907

The provider's authorized official is Hal L Bozof .
The authorized official title is President and has the following contact phone number (239) 278-4100.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/17/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPO1658FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1340443900MEDICAIDFLORIDA
274835OTHERFLORIDABLUE CROSS BLUE SHIELD
3K6024MEDICARE PINFLORIDA
45894550001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.