Provider Demographics
NPI:1942297288
Name:RIMLER, RICHARD J (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:RIMLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N FEDERAL HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4373
Mailing Address - Country:US
Mailing Address - Phone:954-456-8100
Mailing Address - Fax:954-456-6248
Practice Address - Street 1:100 N FEDERAL HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4373
Practice Address - Country:US
Practice Address - Phone:954-456-8100
Practice Address - Fax:954-456-6248
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1893213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390016900Medicaid
65062OtherBCBS
FL010097500Medicaid
T51421Medicare UPIN