# HAL BOZOF, DPM, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1134212012
- **Authorized official:** HAL L BOZOF DPM (PRESIDENT)
- **Authorized official phone:** (239) 278-4100

## Contact information

- **Practice address:** 2540 WINKLER AVE, FORT MYERS, FL 33901-9338
- **Practice address phone:** (239) 278-4100
- **Practice address fax:** (239) 278-3907
- **Mailing address:** 2540 WINKLER AVE, FORT MYERS, FL 33901-9338
- **Mailing address phone:** (239) 278-4100
- **Mailing address fax:** (239) 278-3907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | PO1658 | FL | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 10/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 340443900 | — | FL |
| 01 | — | 74835 | BLUE CROSS BLUE SHIELD | FL |