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Organization

HOWARD M IMANUEL DPM PA

Active
Other names
The Podiatry Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOWARD M IMANUEL DPM (PRESIDENT)
(239) 768-2323
Entity
Organization

Contact information

Practice address
13681 METROPOLIS AVE, FORT MYERS, FL 33912-4318
(239) 768-2323
(239) 768-5530
Mailing address
13681 METROPOLIS AVE, FORT MYERS, FL 33912-4318
(239) 768-2323
(239) 768-5530

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB8440
RAILROAD MEDICARE
FL
Enumeration date
07/26/2006
Last updated
04/28/2008
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