# PODIATRY ASSOCIATES OF FLORIDA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Podiatry Associates of Northeast Florida Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255432746
- **Authorized official:** JEANNIE M BASKIN (CORPORATE ADMINISTRATOR)
- **Authorized official phone:** (904) 251-5053

## Contact information

- **Practice address:** 4625 E BAY DR STE 106, CLEARWATER, FL 33764-6866
- **Practice address phone:** (904) 251-5053
- **Practice address fax:** (904) 224-2002
- **Mailing address:** 5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
- **Mailing address phone:** (904) 251-5053
- **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:** 09/26/2006
- **Last updated:** 06/01/2023