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Organization
PODIATRY ASSOCIATES OF FLORIDA INC
Active
Organization
PODIATRY ASSOCIATES OF FLORIDA INC
Active
Other names
Podiatry Associates of Northeast Florida Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE M BASKIN (CORPORATE ADMINISTRATOR)
(904) 224-2001
Entity
Organization
Contact information
Practice address
1824 BLANDING BLVD, JACKSONVILLE, FL 32210-1904
(904) 224-2001
(904) 224-2002
Mailing address
3117 SPRING GLEN RD, STE 402, JACKSONVILLE, FL 32207-5906
(904) 224-2001
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480025470
RAILROAD MEDICARE
—
01
—
65047
BLUE CROSS BLUE SHIELD
—
01
—
CI4974
RAILROAD MEDICARE
—
01
—
CN7422
RAILROAD MEDICARE
—
01
—
DC3124
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
05/26/2017
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