Organization
SCOLA PODIATRY P A
Active
Other names
Jere Scola III DPM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERE SCOLA DPM (MANAGING PARTNER)
(352) 264-0094
Entity
Organization
Contact information
Practice address
4615 NW 53RD AVE, GAINESVILLE, FL 32653-4885
(352) 264-0094
(352) 375-1677
Mailing address
2630 NW 41ST ST, SUITE C3, GAINESVILLE, FL 32606-7495
(352) 375-0166
(352) 375-1677
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
P02981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340266500
—
FL
Enumeration date
12/27/2011
Last updated
12/27/2011
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