Provider Demographics
NPI:1043406887
Name:FINKEL, DOUGLAS M (DPM)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:M
Last Name:FINKEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 THE RIALTO
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-3524
Mailing Address - Country:US
Mailing Address - Phone:941-488-0222
Mailing Address - Fax:941-480-1668
Practice Address - Street 1:712 THE RIALTO
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-3524
Practice Address - Country:US
Practice Address - Phone:941-488-0222
Practice Address - Fax:941-480-1668
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO-1580213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDQ5231OtherRAILROAD MEDICARE GROUP PTAN
FLP00849586OtherRAILROAD MEDICARE PROV PTAN
FL041248100Medicaid
1307950001OtherDME
FL74640OtherBLUE CROSS BLUE SHIELD GRP#
FL041248100Medicaid
FL87840XMedicare PIN
FLDQ5231OtherRAILROAD MEDICARE GROUP PTAN