Individual
DR. MARK JOSEPH METZGER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7138 LAKE WORTH RD, SUITE C, LAKE WORTH, FL 33467-2970
(561) 939-6325
(561) 899-0460
Mailing address
3500 PRINCETON DR, WELLINGTON, FL 33414-9353
(561) 939-6325
(561) 899-0460
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
PO-0002641
FL
213ER0200X
Radiology Podiatrist
PO-0002641
FL
213ES0000X
Sports Medicine Podiatrist
PO-0002641
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-0002641
FL
213ES0131X
Foot Surgery Podiatrist
PO-0002641
FL
246ZC0007X
Surgical Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340097200
—
FL
Enumeration date
07/08/2005
Last updated
08/26/2020
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