Provider Demographics
NPI:1912004052
Name:RICHARD EGERMAN
Entity Type:Organization
Organization Name:RICHARD EGERMAN
Other - Org Name:PODIATRY SERVICES OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:EGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-495-9700
Mailing Address - Street 1:13489 MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-1347
Mailing Address - Country:US
Mailing Address - Phone:561-495-9700
Mailing Address - Fax:561-496-5588
Practice Address - Street 1:13489 MILITARY TRL
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-1347
Practice Address - Country:US
Practice Address - Phone:561-495-9700
Practice Address - Fax:561-496-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1839Medicare PIN
5385450001Medicare NSC