OrganizationActive
First State Podiatry, L.L.C.
NPI 1376600932 · Podiatrist · Dover, DE
Provider details
- NPI number
- 1376600932
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Marco Holgado, Podiatrist
- License
- E1-0000139 (DE)
Practice location
1177 S Governors Ave Ste B
Dover, DE 19904-6903
Phone: (302) 678-4612
Fax: (302) 678-4614
Mailing address
1177 S Governors Ave Ste B
Dover, DE 19904-6903
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2024-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.