Active NPI 1104899764 Individual Practitioner Male Practitioner

Mark E Hall , DPMPA

Podiatrist • Lake Worth, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Hall, DPMPA is a certified Podiatrist practicing in Lake Worth, FL. With approximately 38 years of clinical experience since graduating from New York College Of Podiatric Medicine in 1988, Mark Hall delivers high-quality medical care to the local community at 7556 LAKE WORTH RD.

Mark Hall is affiliated with Mark E Hall Dpm Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of noncancer thickened skin growth, 2-4 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7556 Lake Worth Rd
Suite 104

Lake Worth, FL 334672503

Telephone 5619665060

Fax 5619664489

Associated Practice Facility / Clinic

🏢 Mark E Hall D P M P A Facility NPI 1972789170

Medicare Profile & Education

Medical School

New York College Of Podiatric Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Lake Worth, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +15.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Lake Worth, FL (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hall (38 Years) 38 Yrs

Lake Worth Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,338	500	$53.49	$44.72
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,133	430	$97.39	$80.11
99213 Established patient office or other outpatient visit, typically 15 minutes	581	324	$110.46	$91.66
73630 X-ray of foot, minimum of 3 views	356	231	$42.49	$34.08
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	335	111	$14.50	$6.95
11057 Removal of noncancer thickened skin growth, more than 4 growths	236	91	$105.57	$87.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$133.91	$113.49
11042 Removal of skin and tissue, 20.0 sq cm or less	167	61	$156.42	$129.02
11720 Removal of fingernails or toenails, 1-5 nails	163	79	$39.17	$33.07
11719 Trimming of fingernails or toenails	142	60	$17.01	$7.50
11730 Simple separation of fingernail or toenail from nail bed, first nail	142	116	$145.89	$114.50
10060 Simple or single drainage of skin abscess	68	58	$146.67	$122.90
64455 Injection of anesthetic and/or steroid drug into foot nerve	50	35	$64.14	$45.19
20550 Injection into tendon or ligament	49	32	$72.67	$55.59
20600 Aspiration and/or injection of fluid from small joint	45	37	$73.23	$47.20
17110 Destruction of up to 14 skin growths	36	16	$131.95	$111.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$189.45	$129.28
11750 Permanent removal fingernail or toenail	33	26	$190.69	$156.41
73620 X-ray of foot, 2 views	31	29	$35.15	$28.52
73610 X-ray of ankle, minimum of 3 views	30	26	$46.74	$36.40
28010 Repair of toe tendon	28	20	$308.79	$230.84
11055 Removal of single thickened skin growth	28	15	$84.48	$65.50
20605 Aspiration and/or injection of medium joint or joint capsule	21	18	$71.51	$49.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$83.63	$57.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$223.18	$170.15
10061 Complicated or multiple drainage of skin abscess	15	15	$249.26	$215.88
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	12	12	$45.22	$33.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,311	469	$50.66	$45.02
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,051	358	$93.00	$82.47
99213 Established patient office or other outpatient visit, typically 15 minutes	490	289	$103.98	$91.39
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	352	99	$15.00	$6.59
73630 X-ray of foot, minimum of 3 views	319	194	$39.40	$34.90
11057 Removal of noncancer thickened skin growth, more than 4 growths	197	67	$101.59	$88.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	191	191	$129.35	$115.93
11720 Removal of fingernails or toenails, 1-5 nails	159	66	$37.57	$33.78
10060 Simple or single drainage of skin abscess	130	107	$144.03	$124.73
11042 Removal of skin and tissue, 20.0 sq cm or less	126	44	$147.38	$129.37
11719 Trimming of fingernails or toenails	123	52	$15.90	$7.66
20550 Injection into tendon or ligament	52	34	$69.97	$55.79
64455 Injection of anesthetic and/or steroid drug into foot nerve	50	32	$72.74	$50.53
11730 Simple separation of fingernail or toenail from nail bed, first nail	38	36	$131.38	$116.35
20600 Aspiration and/or injection of fluid from small joint	35	26	$63.04	$47.80
10061 Complicated or multiple drainage of skin abscess	32	30	$246.23	$219.28
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	26	11	$130.17	$89.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$190.86	$171.01
73610 X-ray of ankle, minimum of 3 views	23	19	$41.91	$37.56
73620 X-ray of foot, 2 views	20	19	$32.26	$28.91
11055 Removal of single thickened skin growth	17	11	$81.29	$72.79
28010 Repair of toe tendon	17	15	$265.74	$238.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$145.25	$130.15
11750 Permanent removal fingernail or toenail	17	15	$181.08	$157.59
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$64.40	$51.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,265	460	$50.95	$45.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	938	338	$95.31	$84.78
99213 Established patient office or other outpatient visit, typically 15 minutes	431	251	$105.34	$93.60
73630 X-ray of foot, minimum of 3 views	283	185	$39.90	$35.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	252	83	$15.00	$6.69
11057 Removal of noncancer thickened skin growth, more than 4 growths	184	71	$105.15	$90.98
10060 Simple or single drainage of skin abscess	176	126	$145.38	$128.43
11042 Removal of skin and tissue, 20.0 sq cm or less	161	57	$151.35	$134.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$130.87	$117.85
11719 Trimming of fingernails or toenails	90	35	$15.95	$7.26
11720 Removal of fingernails or toenails, 1-5 nails	86	45	$37.87	$34.08
64455 Injection of anesthetic and/or steroid drug into foot nerve	42	32	$72.16	$49.14
20600 Aspiration and/or injection of fluid from small joint	40	34	$69.01	$53.01
28010 Repair of toe tendon	35	28	$268.84	$239.77
G0127 Trimming of dystrophic nails, any number	25	25	$50.30	$12.86
10061 Complicated or multiple drainage of skin abscess	23	19	$262.12	$219.48
11750 Permanent removal fingernail or toenail	20	15	$185.24	$158.98
11730 Simple separation of fingernail or toenail from nail bed, first nail	19	18	$133.61	$113.59
73620 X-ray of foot, 2 views	19	17	$32.66	$29.36
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	19	13	$134.20	$103.68
73610 X-ray of ankle, minimum of 3 views	14	11	$42.56	$38.29
28510 Closed treatment of broken toe	13	13	$139.54	$120.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,561	553	$50.95	$46.72
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,154	395	$91.00	$81.96
99213 Established patient office or other outpatient visit, typically 15 minutes	549	318	$105.57	$95.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	424	113	$15.02	$6.71
73630 X-ray of foot, minimum of 3 views	311	207	$39.05	$35.70
11042 Removal of skin and tissue, 20.0 sq cm or less	222	62	$149.80	$133.99
10060 Simple or single drainage of skin abscess	207	145	$143.66	$126.88
11057 Removal of noncancer thickened skin growth, more than 4 growths	205	74	$99.83	$89.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	203	203	$129.85	$118.55
11720 Removal of fingernails or toenails, 1-5 nails	136	54	$38.37	$35.24
11719 Trimming of fingernails or toenails	104	33	$15.91	$7.35
64455 Injection of anesthetic and/or steroid drug into foot nerve	61	38	$62.91	$46.49
20550 Injection into tendon or ligament	59	34	$70.26	$59.75
20600 Aspiration and/or injection of fluid from small joint	52	40	$72.20	$47.34
10061 Complicated or multiple drainage of skin abscess	33	26	$248.20	$225.93
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	32	18	$124.44	$92.18
28010 Repair of toe tendon	23	18	$274.07	$233.16
11750 Permanent removal fingernail or toenail	18	15	$186.73	$161.76
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	17	11	$278.85	$254.87
20605 Aspiration and/or injection of medium joint or joint capsule	16	14	$63.36	$49.06
29550 Placement of strapping to toes	15	12	$23.23	$16.91
11730 Simple separation of fingernail or toenail from nail bed, first nail	15	15	$134.71	$118.97
73620 X-ray of foot, 2 views	14	13	$32.54	$29.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$60.14	$55.22
73610 X-ray of ankle, minimum of 3 views	14	12	$41.77	$38.18
10140 Drainage of blood or fluid accumulation	14	11	$200.89	$180.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$65.00	$54.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$194.59	$177.86
28190 Removal of foreign body of foot tissue, accessed beneath the skin	11	11	$292.37	$267.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,807	637	$52.91	$48.37
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,347	454	$85.23	$76.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	531	130	$15.09	$6.83
99213 Established patient office or other outpatient visit, typically 15 minutes	492	301	$86.54	$79.16
73630 X-ray of foot, minimum of 3 views	436	271	$37.38	$34.11
11042 Removal of skin and tissue, 20.0 sq cm or less	290	76	$145.85	$127.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	251	251	$124.34	$114.13
10060 Simple or single drainage of skin abscess	230	165	$140.86	$125.53
11057 Removal of noncancer thickened skin growth, more than 4 growths	229	94	$93.84	$82.36
11720 Removal of fingernails or toenails, 1-5 nails	155	57	$37.92	$34.79
20550 Injection into tendon or ligament	93	47	$68.79	$53.86
11719 Trimming of fingernails or toenails	92	32	$16.19	$7.51
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	92	28	$131.56	$90.83
64455 Injection of anesthetic and/or steroid drug into foot nerve	62	39	$66.19	$50.66
20600 Aspiration and/or injection of fluid from small joint	58	45	$68.91	$45.38
10061 Complicated or multiple drainage of skin abscess	44	37	$247.31	$223.40
11750 Permanent removal fingernail or toenail	38	34	$180.63	$162.32
17110 Destruction of up to 14 skin growths	28	15	$128.77	$114.58
28010 Repair of toe tendon	27	20	$274.10	$243.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	17	$60.75	$56.00
20605 Aspiration and/or injection of medium joint or joint capsule	17	13	$69.31	$50.16
10140 Drainage of blood or fluid accumulation	17	16	$199.87	$177.40
11730 Simple separation of fingernail or toenail from nail bed, first nail	16	16	$127.67	$98.58
73610 X-ray of ankle, minimum of 3 views	16	16	$39.69	$36.23
29550 Placement of strapping to toes	15	12	$23.53	$13.19
28510 Closed treatment of broken toe	14	14	$142.08	$125.34
10021 Fine needle aspiration biopsy, first growth	14	14	$115.41	$94.35
28470 Closed treatment of broken foot bone	13	13	$258.50	$236.45
73620 X-ray of foot, 2 views	13	12	$31.70	$28.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,809	602	$53.12	$47.89
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,350	443	$77.14	$68.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	543	123	$15.06	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	444	286	$85.90	$77.70
73630 X-ray of foot, minimum of 3 views	413	241	$35.94	$32.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	303	303	$126.12	$114.45
11042 Removal of skin and tissue, 20.0 sq cm or less	253	62	$142.07	$126.95
11057 Removal of noncancer thickened skin growth, more than 4 growths	244	89	$85.59	$76.13
10060 Simple or single drainage of skin abscess	195	134	$139.28	$124.49
11720 Removal of fingernails or toenails, 1-5 nails	169	59	$38.18	$34.66
11719 Trimming of fingernails or toenails	124	34	$16.68	$7.63
20550 Injection into tendon or ligament	82	43	$66.12	$55.31
20600 Aspiration and/or injection of fluid from small joint	64	45	$62.97	$45.31
64455 Injection of anesthetic and/or steroid drug into foot nerve	63	37	$74.76	$52.32
11730 Simple separation of fingernail or toenail from nail bed, first nail	43	41	$125.96	$111.70
28010 Repair of toe tendon	38	28	$274.45	$243.09
17110 Destruction of up to 14 skin growths	36	16	$128.04	$108.83
11750 Permanent removal fingernail or toenail	35	30	$179.91	$154.03
10061 Complicated or multiple drainage of skin abscess	28	26	$243.67	$217.30
10140 Drainage of blood or fluid accumulation	22	20	$196.83	$178.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	12	$61.41	$55.76
28510 Closed treatment of broken toe	18	18	$144.31	$119.24
29550 Placement of strapping to toes	17	15	$23.90	$12.96
73610 X-ray of ankle, minimum of 3 views	15	13	$38.26	$34.73
28470 Closed treatment of broken foot bone	13	13	$258.90	$235.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,768	596	$52.72	$47.19
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,321	434	$67.57	$59.38
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	484	137	$15.04	$7.13
99213 Established patient office or other outpatient visit, typically 15 minutes	450	283	$84.18	$75.49
73630 X-ray of foot, minimum of 3 views	449	280	$33.94	$30.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	306	306	$125.50	$113.15
11057 Removal of noncancer thickened skin growth, more than 4 growths	238	81	$76.55	$67.98
10060 Simple or single drainage of skin abscess	185	139	$138.09	$123.22
11720 Removal of fingernails or toenails, 1-5 nails	166	63	$37.93	$34.15
11042 Removal of skin and tissue, 20.0 sq cm or less	151	46	$137.90	$117.90
11719 Trimming of fingernails or toenails	145	45	$16.54	$7.57
64455 Injection of anesthetic and/or steroid drug into foot nerve	78	51	$63.38	$49.84
20550 Injection into tendon or ligament	62	39	$63.46	$55.05
20600 Aspiration and/or injection of fluid from small joint	61	49	$59.09	$46.23
11730 Simple separation of fingernail or toenail from nail bed, first nail	51	47	$122.78	$107.71
17110 Destruction of up to 14 skin growths	43	25	$129.44	$113.24
11750 Permanent removal fingernail or toenail	34	28	$195.13	$150.72
28510 Closed treatment of broken toe	28	24	$145.76	$119.26
28010 Repair of toe tendon	27	25	$270.95	$244.23
73610 X-ray of ankle, minimum of 3 views	23	20	$36.09	$32.39
10140 Drainage of blood or fluid accumulation	16	15	$192.36	$170.86
20605 Aspiration and/or injection of medium joint or joint capsule	15	12	$67.33	$51.83
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$208.13	$169.80
29550 Placement of strapping to toes	15	15	$26.38	$13.89
28470 Closed treatment of broken foot bone	13	13	$268.30	$214.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$50.38	$45.36
10061 Complicated or multiple drainage of skin abscess	11	11	$237.03	$214.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,841	586	$52.22	$46.49
11056 Removal of noncancer thickened skin growth, 2-4 growths	1,335	417	$67.70	$58.24
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	548	142	$15.07	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	406	259	$84.64	$75.20
73630 X-ray of foot, minimum of 3 views	329	211	$33.71	$29.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	295	289	$126.44	$113.09
11057 Removal of noncancer thickened skin growth, more than 4 growths	283	99	$75.20	$65.10
11720 Removal of fingernails or toenails, 1-5 nails	188	64	$37.35	$33.14
11719 Trimming of fingernails or toenails	160	52	$16.81	$7.43
11042 Removal of skin and tissue, 20.0 sq cm or less	153	61	$137.82	$118.77
11730 Simple separation of fingernail or toenail from nail bed, first nail	132	115	$121.12	$106.48
20600 Aspiration and/or injection of fluid from small joint	89	60	$57.56	$46.19
10060 Simple or single drainage of skin abscess	72	63	$136.98	$121.27
64455 Injection of anesthetic and/or steroid drug into foot nerve	65	48	$72.77	$48.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	60	$50.34	$45.14
20550 Injection into tendon or ligament	59	34	$66.80	$57.37
11750 Permanent removal fingernail or toenail	29	25	$177.10	$155.85
73620 X-ray of foot, 2 views	27	21	$29.88	$26.76
29550 Placement of strapping to toes	25	20	$23.91	$14.47
17110 Destruction of up to 14 skin growths	23	18	$128.59	$114.41
73610 X-ray of ankle, minimum of 3 views	23	18	$36.31	$32.50
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	19	19	$36.83	$32.94
28470 Closed treatment of broken foot bone	19	15	$258.64	$213.19
20605 Aspiration and/or injection of medium joint or joint capsule	17	13	$68.84	$55.21
20551 Injection into tendon at attachment to bone or muscle	17	13	$71.03	$61.73
28010 Repair of toe tendon	17	15	$272.94	$244.33
28510 Closed treatment of broken toe	16	16	$145.49	$122.11
28108 Removal or scraping of bone cyst or growth of toes	15	15	$519.46	$455.08
28190 Removal of foreign body of foot tissue, accessed beneath the skin	14	14	$302.63	$270.72
10140 Drainage of blood or fluid accumulation	13	12	$191.11	$165.99
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$206.59	$178.72
10021 Fine needle aspiration biopsy, first growth	11	11	$143.75	$128.78

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License FL P02108

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

057613100 (FL)

Commercial Insurance / Payer ID Bc/bs Of Fl

65220 (FL)

Commercial Insurance / Payer ID Tax Id #

65-0960025 (FL)

Commercial Insurance / Payer ID Florida License #

P02108 (FL)

Hospital & Practice Group Affiliations

Mark E Hall Dpm Pa

7593 Boynton Beach Blvd, Boynton Beach, FL 334376164

Phone: 5619665060

Mark E Hall Dpm Pa

7556 Lake Worth Rd, Lake Worth, FL 334672503

Phone: 5619665060

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2011

Registered at 7556 LAKE WORTH RD, SUITE 104, LAKE WORTH, FL 334672503 (Tel: 5619665060)

📍

Updated Business Mailing Address January 14, 2011

Registered at 7556 LAKE WORTH RD, SUITE 104, LAKE WORTH, FL 334672503 (Tel: 5619665060)

👤

Provider Name / Credentials Updated January 14, 2011

Recorded as MARK HALL, D.P.M. P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2011

Podiatrist (License #P02108 in FL)

🟢

Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104899764

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2006

Last Update: January 14, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7556 Lake Worth Rd, Suite 104

Lake Worth, FL 334672503

Phone: 5619665060

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.