ERIC W SHULTZ DPM PA NPI 1326250010

NPI Information

NPI: 1326250010
Provider Name: ERIC W SHULTZ DPM PA
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
10250 NORMANDY BLVD
SUITE 205
JACKSONVILLE, FL
ZIP 32221
Phone: (904) 551-1765
Get Directions

ERIC W SHULTZ DPM PA is a primary podiatric medicine podiatrist in Jacksonville, FL. ERIC W SHULTZ DPM PA NPI is 1326250010. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10250 NORMANDY BLVD
SUITE 205
JACKSONVILLE, FL
ZIP 32221-000
Phone: (904) 551-1765
Fax: (904) 388-8263

The provider's authorized official is Kelley M Lundeen .
The authorized official title is Office Manager and has the following contact phone number (904) 551-1765.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 7/8/2011.

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	213E00000X	Podiatrist		PO1898	FLORIDA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO1898	FLORIDA	No
3	213ES0131X	Podiatrist	Foot Surgery	PO1898	FLORIDA	No
4	213EP0504X	Podiatrist	Public Medicine	PO1898	FLORIDA	No
5	213ER0200X	Podiatrist	Radiology	PO1898	FLORIDA	No
6	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO1898	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0915530001	MEDICARE NSC	FLORIDA
2	480020923	OTHER	FLORIDA	MEDICARE RAILROAD
3	65159	MEDICARE PIN	FLORIDA
4	65159	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
5	U10379	MEDICARE UPIN	FLORIDA
6	390193900	MEDICAID	FLORIDA

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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