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Contact Information

EDGAR H NIETER JR, DPM
1661 E ATLANTIC BLVD
POMPANO BEACH, FL33060
 Phone: 954-941-1200
 Fax: 954-942-4005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EDGAR H NIETER JR · (Male)

NPI # 1386668788
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/27/2006
Last updated 05/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • FL License # P02132
  • FL Medicaid 390191200
  • FL Other 243967 AVMED
  • FL Other 65239 BLUE CROSS BLUE SHIELD
  • FL Other 480014334 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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