Organization
FIRST COAST FOOT & ANKLE CLINIC INC
Active
Organization
FIRST COAST FOOT & ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIMAL REDDY DPM (OWNER PHYSICIAN)
(904) 739-9129
Entity
Organization
Contact information
Practice address
8075 GATE PKWY W, SUITE 301, JACKSONVILLE, FL 32216-3684
(904) 739-9129
(904) 739-9127
Mailing address
8075 GATE PKWY W, SUITE 301, JACKSONVILLE, FL 32216-3684
(904) 739-9129
(904) 739-9127
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO3091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6330940002
DME PIN
FL
Enumeration date
05/08/2007
Last updated
04/10/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up