Organization
MEDIC PODIATRY AND WOUND CARE
Active
Other names
MICHAEL R METYK DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R METYK DPM (PODIATRIST/OWNER)
(941) 613-1919
Entity
Organization
Contact information
Practice address
3191 HARBOR BLVD, UNIT D, PORT CHARLOTTE, FL 33952-6755
(941) 613-1919
(941) 613-4077
Mailing address
3191 HARBOR BLVD, UNIT D, PORT CHARLOTTE, FL 33952-6755
(941) 613-1919
(941) 613-4077
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480031773
RAILROAD MEDICARE
FL
Enumeration date
01/18/2008
Last updated
05/02/2012
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