Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO3924 | FL |
Y | 222Z00000X | Podiatrist | PO3924 | FL |
NPI | 1023423944 |
---|---|
Provider Name | Dr. Cole Micheal Hembre |
First Address | Bay Harbor Islands, FL 33154-2105 |
Second Address | Bay Harbor Islands, FL 33154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2014 |
Last Update Date | 16/07/2018 |