Howard Bruce Petusevsky in Sunrise - Primary Podiatric Medicine

Howard Bruce Petusevsky - NPI 1972678498

Howard Bruce Petusevsky is a Primary Podiatric Medicine in Sunrise, Florida. Howard Bruce Petusevsky practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Howard Bruce Petusevsky is 1972678498. The last update date is 2010-07-12.

Howard Bruce Petusevsky's current location address is 7769 Nw 44th St, Sunrise, Florida. You can contact this provider via phone number 9547424343 and fax number 9545728335. The mailing address for Howard Bruce Petusevsky is 7769 Nw 44th St, Sunrise, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Howard Bruce Petusevsky
Address 7769 Nw 44th St, Sunrise, Florida
Phone Number 9547424343
Fax Number 9545728335
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1972678498
Provider Enumeration Date 2006-11-21
Last Updated Date 2010-07-12

Provider Mailing Address Detail

Address 7769 Nw 44th St
City Sunrise
State Florida (FL)
Post Code 333516203
Phone Number 9547424343
Fax Number 9545728335

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No PO1813
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
87950 FL PODIATRY

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FAQs about Howard Bruce Petusevsky

What is the unique identifier code issued to Howard Bruce Petusevsky by the Centers for Medicare & Medicaid Services?

The Howard Bruce Petusevsky has been assigned the NPI (National Provider Identifier) 1972678498. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Howard Bruce Petusevsky's facilities are geographically located?

The facilities of Howard Bruce Petusevsky are physically situated at the following location: 7769 Nw 44Th St, Sunrise, FL, 333516203.

What is Howard Bruce Petusevsky's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Howard Bruce Petusevsky is Primary Podiatric Medicine, and the taxonomy code that categorizes this field of expertise is 213Ep1101X.

On what date did the Howard Bruce Petusevsky receive its 1972678498 assignment from the Centers for Medicare & Medicaid Services?

The Howard Bruce Petusevsky was assigned its 1972678498 by the Centers for Medicare & Medicaid Services on 2006-11-21.

When was the information related to Howard Bruce Petusevsky most recently updated or refreshed?

The details pertaining to the Howard Bruce Petusevsky, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-12.

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