Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEREWARD PENNYCOOKE
Active Sole ProprietorHEREWARD PENNYCOOKE is a Podiatric Surgery healthcare provider located in LAUDERDALE LAKES, Florida. NPI 1053072421 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · LAUDERDALE LAKES, FL
Registration Details
- NPI Number
- 1053072421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2022 (4.6290401044394 yrs)
- Last Updated
- Jan 6, 2022
- License
-
11754900 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3489 NW 24TH STLAUDERDALE LAKES, FL, 333112610Browse FL providers · Browse ZIP 33311
- Phone
- 9548223092
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.