Provider Demographics
NPI:1922278597
Name:POINT PLAZA FOOTCARE INC
Entity Type:Organization
Organization Name:POINT PLAZA FOOTCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FINKE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-720-5922
Mailing Address - Street 1:7144 N NOB HILL RD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1839
Mailing Address - Country:US
Mailing Address - Phone:954-720-5922
Mailing Address - Fax:954-722-5062
Practice Address - Street 1:7144 N NOB HILL RD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1839
Practice Address - Country:US
Practice Address - Phone:954-720-5922
Practice Address - Fax:954-722-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1234213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1325400001Medicare NSC