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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
1361 13TH AVE S, STE 120, JACKSONVILLE BEACH, FL 32250-3233
(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
05
—
041050100
—
FL
01
—
480028094
RAILROAD MEDICARE
—
01
—
65207
BLUE CROSS BLUE SHIELD
—
01
—
65767
BCBS
—
01
—
87368
BLUE CROSS BLUE SHIELD
—
01
—
CI4974
RAILROAD MEDICARE
—
01
—
DC3124
RAILROAD MEDICARE
—
01
—
P00249337
RAILROAD MEDICARE
—
01
—
P00603529
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
06/07/2021
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