Provider Demographics
NPI:1588652879
Name:DAY, GEOFFREY MARTIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:MARTIN
Last Name:DAY
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 1:3450 S OCEAN BLVD APT 425
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-5952
Mailing Address - Country:US
Mailing Address - Phone:231-675-3958
Mailing Address - Fax:
Practice Address - Street 1:3450 S OCEAN BLVD APT 425
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5952
Practice Address - Country:US
Practice Address - Phone:231-675-3958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001667213E00000X, 213ES0103X
FLPO3845213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIGD001667OtherBCBSM
FLQ5028OtherMEDICARE PTAN
MIGD001667OtherPRIORITY HEALTH
MI4856910210OtherBCBSM
MIGD001667OtherPRIORITY HEALTH
MIGD001667OtherBCBSM
MI480015865Medicare PIN
0M30340Medicare PIN
MI480032333Medicare PIN