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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) 251-5053
Entity
Organization
Contact information
Practice address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 251-5053
(904) 224-2002
Mailing address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 251-5053
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480026736
RAILROAD MEDICARE
—
01
—
480030919
RAILROAD MEDICARE
—
01
—
65490
BLUE CROSS BLUE SHIELD
—
01
—
65967
BLUE CROSS BLUE SHIELD
—
01
—
87629
BLUE CROSS BLUE SHIELD
—
01
—
CI4974
RAILROAD MEDICARE
FL
01
—
P00442507
RAILROAD MEDICARE
—
Enumeration date
11/09/2007
Last updated
11/04/2021
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