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Organization

SCOLA PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERE A SCOLA III DPM (OWNER/PRESIDENT)
(352) 264-0094
Entity
Organization

Contact information

Practice address
4615 NW 53RD AVE, GAINESVILLE, FL 32653-4885
(352) 264-0094
(352) 375-1677
Mailing address
PO BOX 147050, PMB 515, GAIENSVILLE, FL 32614-4885
(352) 264-0094
(352) 375-1677

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P02981
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340266500
FL
Enumeration date
03/11/2010
Last updated
03/11/2010
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