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PODIATRY ASSOCIATES OF FLORIDA INC NPI 1003917675


NPI Information

NPI: 1003917675
Provider Name: PODIATRY ASSOCIATES OF FLORIDA INC

Former Legal Business Name: PODIATRY ASSOCIATES OF NORTHEAST FLORIDA INC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1824 BLANDING BLVD
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 224-2001
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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 1003917675. 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:

1824 BLANDING BLVD
JACKSONVILLE, FL
ZIP 32210-904
Phone: (904) 224-2001
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) 224-2001.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 5/26/2017.


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
1CI4974OTHERRAILROAD MEDICARE
2480025470OTHERRAILROAD MEDICARE
30413700008MEDICARE NSC
4CN7422OTHERRAILROAD MEDICARE
565047OTHERBLUE CROSS BLUE SHIELD
621698IMEDICARE PIN
7DC3124OTHERRAILROAD 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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