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RICHARD NETTBOY DPM & MARTIN H SHANK DPM PA NPI 1780750505


NPI Information

NPI: 1780750505
Provider Name: RICHARD NETTBOY DPM & MARTIN H SHANK DPM PA

Doing Business As: BOCA DEERFIELD PODIATRY ASSOCIATES

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
23061 STATE RD 7
BOCA RATON, FL
ZIP 33428
Phone: (561) 482-1900
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RICHARD NETTBOY DPM & MARTIN H SHANK DPM PA is a primary podiatric medicine podiatrist in Boca Raton, FL. RICHARD NETTBOY DPM & MARTIN H SHANK DPM PA NPI is 1780750505. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Boca Deerfield Podiatry Associates.

The provider's business location address is:

23061 STATE RD 7
BOCA RATON, FL
ZIP 33428-433
Phone: (561) 482-1900
Fax: (561) 482-1094

The provider's authorized official is Martin H Shank .
The authorized official title is Partner and has the following contact phone number (561) 482-1900.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 9/15/2008.


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
1213EP1101XPodiatristPrimary Podiatric MedicineP01387FLORIDAYes

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
1T95157MEDICARE UPINFLORIDA
2029636800MEDICAIDFLORIDA
387729ZMEDICARE PINFLORIDA
487615ZMEDICARE PINFLORIDA
5T55518MEDICARE UPINFLORIDA
6E0998YMEDICARE PINFLORIDA

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

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