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PODIATRY ASSOCIATES OF FLORIDA INC NPI 1417137183


NPI Information

NPI: 1417137183
Provider Name: PODIATRY ASSOCIATES OF FLORIDA INC

Former Legal Business Name: PODIATRY ASSOCIATES OF NORTHEAST FLORIDA INC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5911 TIMUQUANA RD UNIT 300
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 251-5053
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PODIATRY ASSOCIATES OF FLORIDA INC is a podiatrist in Jacksonville, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PODIATRY ASSOCIATES OF FLORIDA INC NPI is 1417137183. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Podiatry Associates Of Northeast Florida Inc.

The provider's business location address is:

5911 TIMUQUANA RD UNIT 300
JACKSONVILLE, FL
ZIP 32210-897
Phone: (904) 251-5053
Fax: (904) 224-2002

The provider's authorized official is Jeannie M Baskin .
The authorized official title is Corporate Administrator and has the following contact phone number (904) 251-5053.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 11/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CI4974OTHERFLORIDARAILROAD MEDICARE
287629OTHERBLUE CROSS BLUE SHIELD
365490OTHERBLUE CROSS BLUE SHIELD
4480026736OTHERRAILROAD MEDICARE
5480030919OTHERRAILROAD MEDICARE
665967OTHERBLUE CROSS BLUE SHIELD
7P00442507OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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