| Massood Jallali, DPM | |
| 2337 S University Dr, Davie, FL 33324-5842 | |
| (954) 274-7454 | |
| Not Available | 
| Full Name | Massood Jallali | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist | 
| Location | 2337 S University Dr, Davie, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114122660 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | PO2747 (Florida) | Primary | 
| Provider Name | East Coast Podiatric Medicine And Surgery Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1356392500 PECOS PAC ID: 6204848823 Enrollment ID: O20060626000055 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Massood Jallali, DPM 2337 S University Dr, Davie, FL 33324-5842 Ph: (954) 274-7454 | Massood Jallali, DPM 2337 S University Dr, Davie, FL 33324-5842 Ph: (954) 274-7454 | 
| Alberto Herrada, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10600 Griffin Rd, Suite 107, Davie, FL 33328 Phone: 954-434-9877 Fax: 954-434-9881 | |
| Dr. Robert C Balandis, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8844a State Road 84, Davie, FL 33324 Phone: 954-452-4590 Fax: 954-452-0509 | |
| Gelin J Fils-aime Dpm Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 5400 S University Dr Ste 301, Davie, FL 33328 Phone: 954-361-6151 Fax: 954-666-0668 | |
| Dr. David E Golden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4891 Winkfield Way, Davie, FL 33331 Phone: 954-383-8898 | |
| Dr. Deanne S Roodnarine, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2112 Sw 71st Way, Davie, FL 33317 Phone: 954-476-3646 Fax: 954-476-3646 | |
| Dr.jeffrey Lance Kravat Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8600 W State Road 84 Ste B, Davie, FL 33324 Phone: 954-474-5900 |