GEORGE S TELLAM DPM NPI 1669843751

NPI Information

  • NPI: 1669843751
  • Provider Name: GEORGE S TELLAM DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: ANKLE & FOOT ASSOCIATES
  • Address: 2710 3RD ST S
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Phone: (904) 269-9595

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NPI Details

GEORGE S TELLAM DPM is a podiatrist in Jacksonville Beach, 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. GEORGE S TELLAM DPM NPI is 1669843751. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ankle & Foot Associates.

The provider's business location address is:

2710 3RD ST S
JACKSONVILLE BEACH, FL
ZIP 32250-028
Phone: (904) 269-9595
Fax: (904) 264-5211

The provider's authorized official is Shelley Sawday Thomas .
The authorized official title is Owner/podiatrist and has the following contact phone number (904) 269-9595.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 7/29/2020.

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
1213E00000XPodiatristPO 1636FLORIDAYes

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
11750319026OTHERFLORIDAINDIVIDUAL NPI

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: 11/21/2025

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