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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
1914 SOUTHSIDE BLVD, STE 1, JACKSONVILLE, FL 32216-1930
(904) 224-2001
(904) 224-2002
Mailing address
2140 KINGSLEY AVE STE 12, ORANGE PARK, FL 32073-5129
(904) 224-2001
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480025754
RAILROAD MEDICARE
—
01
—
CI4974
RAILROAD MEDICARE
—
01
—
DA0704
RAILROAD MEDICARE
—
01
—
P00008626
RAILROAD MEDICARE
—
Enumeration date
10/18/2006
Last updated
06/07/2021
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