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Organization

PODIATRY FOOT AND ANKLE CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIAN ROBERT MENENDEZ DPM (OWNER/PHYSICIAN)
(727) 544-5425
Entity
Organization

Contact information

Practice address
5415 PARK ST N, SUITE C, SAINT PETERSBURG, FL 33709-1087
(727) 544-5425
(727) 544-5440
Mailing address
5415 PARK ST N, SUITE C, SAINT PETERSBURG, FL 33709-1087
(727) 544-5425
(727) 544-5440

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3257
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306160270
GROUP NPI
FL
01
1360219
AMERIGROUP
FL
01
3482826
MAIL HANDLERS BENEFIT PLAN
FL
01
615430600
OFFICE OF WORKERS COMPENSATION
FL
01
6413570001
DME SUPPLIER ID
FL
01
65944
BC/BS
FL
01
CY302A
MEDICARE PTAN
FL
01
DQ3766
RR MEDICARE GROUP
FL
01
P00835981
RR MEDICARE INDIVIDUAL
FL
Enumeration date
03/22/2010
Last updated
02/16/2023
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