# ABC FEET INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114487311
- **Authorized official:** DIANDRA K GORDON DPM (OWNER/PROVIDER)
- **Authorized official phone:** (904) 534-7061

## Contact information

- **Practice address:** 1126 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-8850
- **Practice address phone:** (904) 765-5554
- **Practice address fax:** (904) 765-9302
- **Mailing address:** 1629 REDSTONE CT, ST AUGUSTINE, FL 32092-5028
- **Mailing address phone:** (904) 534-7061
- **Mailing address fax:** (904) 224-2002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 09/29/2020