# SOUTHEASTERN PODIATRY CLINIC PA

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

## Provider details

- **NPI number:** 1245427525
- **Authorized official:** PAUL REYNOLDS DPM (PRESIDENT)
- **Authorized official phone:** (850) 942-0096

## Contact information

- **Practice address:** 1580 WALDO PALMER LN STE 1A, TALLAHASSEE, FL 32308-6049
- **Practice address phone:** (850) 942-0096
- **Mailing address:** 1580 WALDO PALMER LN STE 1A, TALLAHASSEE, FL 32308-6049
- **Mailing address phone:** (850) 942-0096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2918 | FL | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 06/05/2025