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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
SUSAN G SINCHUK (BUSINESS ADMINISTRATOR)
(904) 224-2001
Entity
Organization
Contact information
Practice address
220 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 829-2855
(904) 829-0672
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
05
—
390364800
—
FL
01
—
480026736
RAILROAD MEDICARE
—
01
—
480030919
RAILROAD MEDICARE
—
01
—
65490
BLUE CROSS BLUE SHIELD
—
01
—
87629
BLUE CROSS BLUE SHIELD
—
01
—
CI4974
MEDICARE
FL
01
—
P00442507
RAILROAD MEDICARE
—
Enumeration date
09/20/2007
Last updated
09/03/2009
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