HAL BOZOF, DPM, PA (NPI# 1134212012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134212012 |
| Entity Type | Organization |
| Organization Name | HAL BOZOF, DPM, PA |
| Practice Address |
2540 Winkler Ave Fort Myers FL 33901-9338 |
| Practice Telephone | 2392784100 |
| Practice Fax Number | 2392783907 |
| Mailing Telephone | 2392784100 |
| Mailing Fax Number | 2392783907 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | HAL L BOZOF (PRESIDENT) |
| Authorized Official Telephone | 2392784100 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO1658 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 74835 | 01 |
| FL | 340443900 | 05 |
| Street Address |
2540 WINKLER AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243748 | Hal Leslie Bozof | Podiatrist | 2540 Winkler Ave, Ste 2, Fort Myers, FL 33901-9338 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437248648 | Brian K Doerr Dpm Pa | Podiatrist | 14391 Metropolis Avenue, Suite 103, Fort Myers, FL 33912 | 2006-10-12 |
| 1093729592 | Jeffrey Eric Kleiman | Podiatrist | 8350 Riverwalk Park Blvd Ste 1, Fort Myers, FL 33919-8759 | 2006-07-28 |
| 1073536207 | Howard M Imanuel Dpm Pa | Podiatrist | 13681 Metropolis Ave, Fort Myers, FL 33912-4318 | 2006-07-26 |
| 1174587075 | Patricia Nicholas | Podiatrist | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2006-04-17 |
| 1780665869 | Lori Lynn Finn | Podiatrist | 13761 Mcgregor Blvd, Fort Myers, FL 33919-6120 | 2005-11-07 |
| 1295722080 | Mark E Weaver | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2005-10-05 |
| 1750381190 | Howard M Imanuel | Podiatrist | 8851 Boardroom Cir, Fort Myers, FL 33919-4888 | 2005-07-28 |
| 1194725002 | Foot & Ankle Group of Southwest Florida, Pa | Podiatrist | 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907-7738 | 2005-07-21 |
| 1700339108 | Axel Podiatry Services LLC | Podiatrist | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2016-08-02 |
| 1578820700 | Mark E Weaver, Dpm | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2012-04-12 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on HAL BOZOF, DPM, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.