# PAUL E GREGOLINE DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114963006
- **Authorized official:** DR. PAUL EUGENE GREGOLINE DPM (PODIATRIC SURGEON)
- **Authorized official phone:** (954) 793-2387

## Contact information

- **Practice address:** 45 NW 4TH ST, HOMESTEAD, FL 33030-5941
- **Practice address phone:** (786) 259-3239
- **Practice address fax:** (305) 246-8556
- **Mailing address:** 1865 S OCEAN DR, 15 I, HALLANDALE BEACH, FL 33009-7603
- **Mailing address phone:** (954) 457-5539
- **Mailing address fax:** (954) 457-5539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2877 | FL | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 10/08/2009