Provider Demographics
NPI:1598938144
Name:JOEL EPSTEIN, D.P.M.,P.A.
Entity Type:Organization
Organization Name:JOEL EPSTEIN, D.P.M.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:727-785-5611
Mailing Address - Street 1:2595 TAMPA RD.
Mailing Address - Street 2:SUITE O
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3131
Mailing Address - Country:US
Mailing Address - Phone:727-785-5611
Mailing Address - Fax:727-787-1237
Practice Address - Street 1:2595 TAMPA RD.
Practice Address - Street 2:SUITE O
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3131
Practice Address - Country:US
Practice Address - Phone:727-785-5611
Practice Address - Fax:727-787-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0001296332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0470020001Medicare NSC