Individual
PHILIP FRED ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
PO0000690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87303
BCBS
FL
01
—
P00757695
RAILROAD MEDICARE
FL
Enumeration date
03/25/2006
Last updated
02/11/2010
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