Organization
CORY B HAIMON, D.P.M., PA
Active
Other names
Gold Coast Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY S ROSE (OFFICE MANAGER)
(561) 496-6900
Entity
Organization
Contact information
Practice address
170 S BARFIELD HWY, SUITE 106, PAHOKEE, FL 33476-1868
(561) 692-9024
(561) 496-5348
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
Primary
PO0001592
FL
213E00000X
Podiatrist
PO0001689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390417200
—
FL
Enumeration date
12/31/2009
Last updated
12/31/2009
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