ATLANTIC PODIATRY ASSOCIATES DPM PA NPI 1477174050

NPI Information

  • NPI: 1477174050
  • Provider Name: ATLANTIC PODIATRY ASSOCIATES DPM PA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 595 W GRANADA BLVD STE F
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 673-2266

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NPI Details

ATLANTIC PODIATRY ASSOCIATES DPM PA is a foot and ankle surgery podiatrist in Ormond Beach, FL. ATLANTIC PODIATRY ASSOCIATES DPM PA NPI is 1477174050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

595 W GRANADA BLVD STE F
ORMOND BEACH, FL
ZIP 32174-182
Phone: (386) 673-2266
Fax: (386) 676-2772

The provider's authorized official is James W Rust .
The authorized official title is Physician and has the following contact phone number (386) 274-3336.

The enumeration date for this NPI number is 5/5/2020 and was last updated on 5/5/2020.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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: 3/30/2025

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