PODIATRIST ON CALL LLC NPI 1295264224

NPI Information

NPI: 1295264224
Provider Name: PODIATRIST ON CALL, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2720 PARK ST STE 210
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 707-8769
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PODIATRIST ON CALL, LLC is a foot and ankle surgery podiatrist in Jacksonville, FL. PODIATRIST ON CALL, LLC NPI is 1295264224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2720 PARK ST STE 210
JACKSONVILLE, FL
ZIP 32205-645
Phone: (904) 707-8769
Fax: (844) 663-5325

The provider's authorized official is Troy Adam Harris .
The authorized official title is Manager and has the following contact phone number (904) 707-8769.

The enumeration date for this NPI number is 6/4/2017 and was last updated on 7/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO3922	FLORIDA	Yes

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

NPI Synchronization or Removal

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