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Organization

ADLER PODIATRY AND WOUND CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI A STRANDBERG (BILLING MANAGER)
(800) 394-1169
Entity
Organization

Contact information

Practice address
3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL 32216-4250
(904) 731-1711
(904) 731-9270
Mailing address
3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL 32216-4250
(904) 731-1711
(904) 731-9270

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000D
BLUE CROSS BLUE SHIELD
FL
01
000LZ
BLUE CROSS BLUE SHIELD
FL
01
DP4418
RAILROAD MEDICARE
FL
Enumeration date
06/03/2009
Last updated
03/12/2010
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