Individual
DR. PAMELA J HUMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
352 MILUS ST, PUNTA GORDA, FL 33950-4552
(941) 639-0025
(941) 374-7271
Mailing address
PO BOX 511269, PUNTA GORDA, FL 33951-1269
(941) 639-0025
(941) 347-7271
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0002568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013068709
GROUP NPI
FL
05
—
390313300
—
FL
01
—
480021060
RAILROAD MEDICARE
—
01
—
65458
BLUE SHIELD
FL
01
—
77160
MEDICARE GROUP PROVIDER #
—
Enumeration date
09/23/2005
Last updated
03/24/2010
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