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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
SUSAN G SINCHUK (CORPORATE ADMINISTRATOR)
(904) 224-2001
Entity
Organization
Contact information
Practice address
320 DUNDAS DR, STE 7-8, JACKSONVILLE, FL 32218-8502
(904) 757-4523
(904) 726-9987
Mailing address
3117 SPRING GLEN RD, STE 402, JACKSONVILLE, FL 32207-5906
(904) 224-2001
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO-01121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48002574
RAILROAD MEDICARE
—
01
—
65770
BLUE CROSS BLUE SHIELD
—
01
—
87606
BLUE CROSS BLUE SHIELD
—
01
—
CI4974
RAILROAD MEDICARE
—
01
—
DA0704
RAILROAD MEDICARE
—
01
—
P00008626
RAILROAD MEDICARE
—
Enumeration date
06/13/2007
Last updated
09/03/2009
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