Organization
PASCARELLA HOOVER FINKELSTEIN & WAGNER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA J WATSON (ADMINISTRATOR)
(407) 339-7759
Entity
Organization
Contact information
Practice address
661 E ALTAMONTE DR, SUITE 210, ALTAMONTE SPRINGS, FL 32701-5105
(407) 339-7759
(407) 830-0024
Mailing address
661 E ALTAMONTE DR, SUITE 210, ALTAMONTE SPRINGS, FL 32701-5105
(407) 339-7759
(407) 830-0024
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1125200001
DMERC NSC
FL
05
—
1D029736400
—
FL
01
—
CM9370
MRR GROUP NUMBER
FL
Enumeration date
09/16/2005
Last updated
10/03/2017
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