Cory B Haimon, D.P.M., PA
Organization Active NPI Podiatrist · Pahokee, FL
NPI 1982934626 · NPPES record last updated Dec 31, 2009
Key facts
- NPI
- 1982934626
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- PO0001592 (FL)
- Legal business name
- CORY B HAIMON, D.P.M., PA
- Practice address
- 170 S Barfield Hwy
Suite 106
Pahokee, FL 33476-1868 - Phone
- (561) 692-9024
- Fax
- (561) 496-5348
- NPI assigned
- Dec 31, 2009
- Organization subpart
- No
Authorized official
- Name
- Tammy S Rose
- Title
- Office Manager
- Phone
- (561) 496-6900
National Provider Directory
Locations
170 S Barfield Hwy
Ste 106
Pahokee, FL 33476
Phone (561) 692-9024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | PO0001592 | FL | Yes |
| Podiatrist |
213E00000X | PO0001689 | FL |
Addresses
Primary practice location
170 S Barfield Hwy
Suite 106
Pahokee, FL 33476-1868
Mailing address
7431 W Atlantic Ave Ste 33
Delray Beach, FL 33446-3505
Phone (561) 496-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390417200 | Medicaid | FL |
Other names
- Gold Coast Podiatry Group
Other providers in Pahokee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.