Provider Demographics
NPI:1265579064
Name:SHOEMAKER AND ZWICK PODIATRY ASSOCIATES
Entity type:Organization
Organization Name:SHOEMAKER AND ZWICK PODIATRY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOEMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-326-3338
Mailing Address - Street 1:1321 NW 14TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1673
Mailing Address - Country:US
Mailing Address - Phone:305-326-3338
Mailing Address - Fax:305-326-3339
Practice Address - Street 1:1321 NW 14TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1673
Practice Address - Country:US
Practice Address - Phone:305-326-3338
Practice Address - Fax:305-326-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390357500Medicaid
FL390225100Medicaid
FL390220000Medicaid
FL390357500Medicaid
FLU22915Medicare UPIN
FL4672340001Medicare NSC
FL65269ZMedicare PIN
FL390225100Medicaid
FL65200ZMedicare PIN