# ATLANTIC PODIATRY ASSOCIATES DPM PA

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

## Provider details

- **NPI number:** 1467073049
- **Authorized official:** JAMES W RUST (PHYSICIAN)
- **Authorized official phone:** (386) 274-3336

## Contact information

- **Practice address:** 790 DUNLAWTON AVE STE C, PORT ORANGE, FL 32127-4222
- **Practice address phone:** (386) 788-6333
- **Practice address fax:** (386) 788-3993
- **Mailing address:** 1890 LPGA BLVD STE 230, DAYTONA BEACH, FL 32117-7131
- **Mailing address phone:** (386) 274-3336
- **Mailing address fax:** (386) 274-3660

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 05/11/2020