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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) 224-2001
Entity
Organization
Contact information
Practice address
2140 KINGSLEY AVE STE 12, ORANGE PARK, FL 32073
(904) 224-2000
(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
—
480025510
RAILROAD MEDICARE
—
01
—
480025511
RAILROAD MEDICARE
—
01
—
480025512
RAILROAD MEDICARE
—
01
—
65238
BLUE CROSS BLUE SHIELD
—
01
—
65484
BLUE CROSS BLUE SHIELD
—
01
—
87303
BLUE CROSS BLUE SHIELD
—
01
—
CN7223
RAILROAD MEDICARE
—
01
—
P00603525
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
03/15/2019
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