# ADLER PODIATRY CLINIC PLLC

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

## Provider details

- **NPI number:** 1477814176
- **Authorized official:** PHILIP F ADLER DPM (OWNER/PODIATRIST)
- **Authorized official phone:** (904) 731-1711

## Contact information

- **Practice address:** 320 1ST ST N, SUITE 709, JACKSONVILLE BEACH, FL 32250-6944
- **Practice address phone:** (904) 731-1711
- **Practice address fax:** (904) 731-9270
- **Mailing address:** 3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL 32216-4250
- **Mailing address phone:** (904) 731-1711
- **Mailing address fax:** (904) 731-9270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2158 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3414 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3516 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO690 | FL | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 05/30/2012