Provider Demographics
NPI:1720514078
Name:CADY, GEOFFREY BRUCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:BRUCE
Last Name:CADY
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 1:320 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-688-7578
Mailing Address - Fax:
Practice Address - Street 1:6748 GALL BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2511
Practice Address - Country:US
Practice Address - Phone:813-467-4270
Practice Address - Fax:813-467-4272
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006866213ES0103X
390200000X
FLPO4512213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program