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Organization

PAUL E GREGOLINE DPM PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL EUGENE GREGOLINE DPM (PODIATRIC SURGEON)
(954) 793-2387
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2877
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340156101
FL
01
DN9281
RAILROAD MEDICARE NUMBER GROUP
FL
Enumeration date
06/21/2006
Last updated
10/08/2009
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