TOTAL FOOT CARE AND WELLNESS CLINIC LLC NPI 1578938684

NPI Information

TOTAL FOOT CARE AND WELLNESS CLINIC, LLC is a foot and ankle surgery podiatrist in Jacksonville, FL. TOTAL FOOT CARE AND WELLNESS CLINIC, LLC NPI is 1578938684. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8021 PHILIPS HWY STE 1
JACKSONVILLE, FL
ZIP 32256-460
Phone: (904) 323-0954
Fax: (904) 660-2125

The provider's authorized official is Candice L Kennedy .
The authorized official title is Owner and has the following contact phone number (904) 323-0954.

The CLIA number assigned to this NPI record is 10D2245597 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/1/2015 and was last updated on 3/20/2024.

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:

Other Identifiers

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