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
1824 BLANDING BLVD, JACKSONVILLE, FL 32210-1904
(904) 224-2001
(904) 224-2002
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480025470
RAILROAD MEDICARE
—
01
—
65047
BLUE CROSS BLUE SHIELD
—
01
—
CI4974
RAILROAD MEDICARE
—
01
—
CN7422
RAILROAD MEDICARE
—
01
—
DC3124
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
05/26/2017
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