Provider Demographics
NPI:1942468749
Name:SHEINGOLD, ARIN JEREMY (DPM)
Entity Type:Individual
Prefix:
First Name:ARIN
Middle Name:JEREMY
Last Name:SHEINGOLD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 DEL PRADO BLVD S STE 12
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-5523
Mailing Address - Country:US
Mailing Address - Phone:239-573-9200
Mailing Address - Fax:855-376-5040
Practice Address - Street 1:1722 DEL PRADO BLVD S STE 12
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-5523
Practice Address - Country:US
Practice Address - Phone:395-739-2002
Practice Address - Fax:855-376-5040
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006002213ES0103X
FLPO3437213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO3437OtherPODIATRY