DR. WASSEM E FARAGALLA DPM NPI 1598103905

NPI Information

NPI: 1598103905
Provider Name: DR. WASSEM E FARAGALLA, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
13600 ICOT BLVD
BLDG. B
CLEARWATER, FL
ZIP 33760
Phone: (888) 290-6321
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DR. Wassem E Faragalla, DPM is a foot surgery podiatrist in Clearwater, FL with 12 years of experience. DR. Wassem E Faragalla, DPM NPI is 1598103905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2012

The provider's business location address is:

13600 ICOT BLVD
BLDG. B
CLEARWATER, FL
ZIP 33760-703
Phone: (888) 290-6321
Fax: (727) 669-8417

The NPI 1598103905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/7/2013 and was last updated on 3/22/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO3803	FLORIDA	No
2	213ES0131X	Podiatrist	Foot Surgery	PO3803	FLORIDA	Yes

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

NPI Synchronization or Removal

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