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CORY HAIMON DPM PA NPI 1700015849


NPI Information

NPI: 1700015849
Provider Name: CORY HAIMON DPM PA

Doing Business As: GOLD COAST PODIATRY GROUP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
941 SE 1ST ST
SUITE B
BELLE GLADE, FL
ZIP 33430
Phone: (561) 993-3668
Get Directions

CORY HAIMON DPM PA is a podiatrist in Belle Glade, 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. CORY HAIMON DPM PA NPI is 1700015849. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Gold Coast Podiatry Group.

The provider's business location address is:

941 SE 1ST ST
SUITE B
BELLE GLADE, FL
ZIP 33430-353
Phone: (561) 993-3668
Fax: (561) 993-3668

The provider's authorized official is Ira J Jacobson .
The authorized official title is Vice President and has the following contact phone number (561) 993-3668.

The enumeration date for this NPI number is 7/10/2009 and was last updated on 4/19/2012.


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
1213E00000XPodiatristPO0001592FLORIDANo
2213E00000XPodiatristPO0001689FLORIDAYes

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
14623420002MEDICARE NSCFLORIDA
272837AMEDICARE PINFLORIDA
3390417200MEDICAIDFLORIDA

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: 4/28/2024

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