NPIMap

Robert E Hole, P.O.

Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Edgewater, FL

NPI 1487831350 · NPPES record last updated Jan 23, 2008

Key facts

NPI
1487831350
Entity type
Individual (NPI type 1)
Primary specialty
Primary Podiatric Medicine Podiatrist 213EP1101X
License
PO2489 (FL)
Practice address
346 N Ridgewood Ave
Edgewater, FL 32132-1671
Phone
(386) 423-1888
Fax
(386) 423-2030
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PO2489FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shores Medical PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2489 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO2489 FL Yes

Addresses

Primary practice location

346 N Ridgewood Ave
Edgewater, FL 32132-1671

Mailing address

346 N Ridgewood Ave
Edgewater, FL 32132-1671
Phone (386) 423-1888

Other providers in Edgewater, FL

All providers in Edgewater, FL · Primary Podiatric Medicine Podiatrist in Florida

Sources for this page

Verify at the official NPI Registry.