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Organization

ATLANTIC PODIATRY ASSOCIATES DPM PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES W RUST (PHYSICIAN)
(386) 274-3336
Entity
Organization

Contact information

Practice address
11 FLORIDA PARK DR N, PALM COAST, FL 32137-3866
(386) 445-4734
(386) 445-8411
Mailing address
1890 LPGA BLVD STE 230, DAYTONA BEACH, FL 32117-7131
(386) 274-3336
(386) 274-3660

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40973
MEDICARE PIN
FL
01
4380280001
MEDICARE NSC
FL
Enumeration date
05/05/2020
Last updated
07/31/2020
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