Organization
DR EDGAR H NIETER PA
Active
Other names
Pompano Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR H. NIETER DPM (PRESIDENT)
(954) 941-1200
Entity
Organization
Contact information
Practice address
1661 E ATLANTIC BLVD, POMPANO BEACH, FL 33060-6750
(954) 941-1200
(954) 942-4005
Mailing address
1661 E ATLANTIC BLVD, POMPANO BEACH, FL 33060-6750
(954) 941-1200
(954) 942-4005
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390191200
—
FL
01
—
77441
BCBS
FL
01
—
CB2016
RAILROAD MEDICARE
FL
Enumeration date
12/21/2006
Last updated
03/06/2008
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