Provider Demographics
NPI:1255317426
Name:METZGER, ALAN A (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:METZGER
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 1:1609 NW 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1619
Mailing Address - Country:US
Mailing Address - Phone:305-324-0903
Mailing Address - Fax:305-324-0057
Practice Address - Street 1:1609 NW 14TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1619
Practice Address - Country:US
Practice Address - Phone:305-324-0903
Practice Address - Fax:305-324-0057
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO668213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041316000Medicaid
FL87272Medicare ID - Type Unspecified
FLT84635Medicare UPIN
FL87272ZMedicare PIN