Organization
NORTH FLORIDA FOOT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RICHARD JASON DPM (OWNER)
(904) 725-2121
Entity
Organization
Contact information
Practice address
3600 CRILL AVE, PALATKA, FL 32177-8112
(386) 325-7541
(386) 325-7204
Mailing address
3600 CRILL AVE, PALATKA, FL 32177-8112
(386) 325-7541
(386) 325-7204
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
06/14/2021
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