EAST BOCA PODIATRY PA NPI 1972645398

NPI Information

EAST BOCA PODIATRY PA is a podiatrist in Boca Raton, 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. EAST BOCA PODIATRY PA NPI is 1972645398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5458 TOWN CENTER RD
SUITE 17
BOCA RATON, FL
ZIP 33486-089
Phone: (561) 416-1196
Fax: (566) 141-6182

The provider's authorized official is Barry Alan Rudin .
The authorized official title is Owner and has the following contact phone number (561) 416-1196.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/16/2008.

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:

Other Identifiers

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