Paul E Gregoline DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2877 Issued in FL

Legal business name

PAUL E GREGOLINE DPM PA

Practice address

45 NW 4TH St
Homestead, FL 33030-5941

Phone

(786) 259-3239

Fax

(305) 246-8556

NPI assigned

Jun 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Eugene Gregoline, DPM

Title

Podiatric Surgeon

Phone

(954) 793-2387

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1114963006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 S OCEAN DR",
            "address_2": "15 I",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097603",
            "telephone_number": "954-457-5539",
            "fax_number": "954-457-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW 4TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305941",
            "telephone_number": "786-259-3239",
            "fax_number": "305-246-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E GREGOLINE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "GREGOLINE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PODIATRIC SURGEON",
        "authorized_official_telephone_number": "954-793-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340156101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER GROUP",
            "identifier": "DN9281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Homestead, FL
• Providers in Homestead, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.