Provider Demographics
NPI:1306802921
Name:ADLER, JOHN J (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:ADLER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1722 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE 12
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-5525
Mailing Address - Country:US
Mailing Address - Phone:239-573-9200
Mailing Address - Fax:239-573-9204
Practice Address - Street 1:1722 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 12
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-5525
Practice Address - Country:US
Practice Address - Phone:239-573-9200
Practice Address - Fax:239-573-9204
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2014-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPO2068213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65161ZMedicare ID - Type Unspecified
FLT34331Medicare UPIN