Provider Demographics
NPI:1649585571
Name:PASCARELLA, HOOVER, FINKELSTEIN, WAGNER, DPM, PA
Entity Type:Organization
Organization Name:PASCARELLA, HOOVER, FINKELSTEIN, WAGNER, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:407-345-5211
Mailing Address - Street 1:7350 SANDLAKE COMMONS BLVD STE 3329
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8031
Mailing Address - Country:US
Mailing Address - Phone:407-345-5211
Mailing Address - Fax:407-345-5220
Practice Address - Street 1:7350 SANDLAKE COMMONS BLVD STE 3329
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8031
Practice Address - Country:US
Practice Address - Phone:407-345-5211
Practice Address - Fax:407-345-5220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1125200005OtherDMERC NSC