Organization
CORY HAIMON DPM PA
Active
Parent organization
CORY HAIMON DPM PA
Other names
Gold Coast Podiatry Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORY HAIMON DPM PA
Authorized official
DR. IRA J JACOBSON DPM (VICE PRESIDENT)
(561) 993-3668
Entity
Organization
Contact information
Practice address
941 SE 1ST ST, SUITE B, BELLE GLADE, FL 33430-4353
(561) 993-3668
(561) 993-3668
Mailing address
7431 W ATLANTIC AVE STE 33, DELRAY BEACH, FL 33446-3505
(561) 496-6900
(561) 496-5348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO0001592
FL
213E00000X
Podiatrist
Primary
PO0001689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390417200
—
FL
Enumeration date
07/10/2009
Last updated
04/19/2012
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