Provider Demographics
NPI:1396367686
Name:JOHN A FLAUTO DPM LLC
Entity Type:Organization
Organization Name:JOHN A FLAUTO DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLAUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:330-729-1200
Mailing Address - Street 1:7010 SOUTH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-3603
Mailing Address - Country:US
Mailing Address - Phone:330-729-1200
Mailing Address - Fax:
Practice Address - Street 1:3802 ELM RD NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-2600
Practice Address - Country:US
Practice Address - Phone:330-372-1500
Practice Address - Fax:330-372-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies