Organization
LAWRENCE J KALES D P M P A
Active
Other names
Bayonet Point Foot Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J KALES D P M P A (PRESIDENT)
(727) 868-2128
Entity
Organization
Contact information
Practice address
7117 STATE ROAD 52, HUDSON, FL 34667-6708
(727) 868-2128
(727) 868-7491
Mailing address
7117 STATE ROAD 52, HUDSON, FL 34667-6708
(727) 868-2128
(727) 868-7491
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1074
FL
332B00000X
Durable Medical Equipment & Medical Supplies
PO 1074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390198000
—
FL
05
—
3901980002
—
FL
01
—
480009820
MEDICARE RAILROAD
FL
01
—
87662
BCBS
FL
01
—
87662U
MEDICARE PTAN
FL
Enumeration date
10/30/2007
Last updated
11/03/2011
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