Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO-1580 | FL |
NPI | 1043406887 |
---|---|
Provider Name | Douglas M Finkel |
First Address | Venice, FL 34285-3524 |
Second Address | Venice, FL 34285-3524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 29/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041248100 | (05) | FL |
1307950001 | DME (01) | |
74640 | BLUE CROSS BLUE SHIELD GRP# (01) | FL |
DQ5231 | RAILROAD MEDICARE GROUP PTAN (01) | FL |
P00849586 | RAILROAD MEDICARE PROV PTAN (01) | FL |