Provider Demographics
NPI:1821100975
Name:PASCARELLA, EUGENE M JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:M
Last Name:PASCARELLA
Suffix:JR
Gender:M
Credentials:DPM
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Mailing Address - Street 1:661 EAST ALTAMONTE DRIVE
Mailing Address - Street 2:FOOT AND ANKLE ASSOCIATES OF FLORIDA SUITE 210
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701
Mailing Address - Country:US
Mailing Address - Phone:407-339-7759
Mailing Address - Fax:407-830-0024
Practice Address - Street 1:661 EAST ALTAMONTE DRIVE
Practice Address - Street 2:FOOT AND ANKLE ASSOCIATES OF FLORIDA SUITE 210
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701
Practice Address - Country:US
Practice Address - Phone:407-339-7759
Practice Address - Fax:407-830-0024
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO1464213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T55544Medicare UPIN
FL87788Medicare PIN