Organization
TOTAL FOOT CARE AND WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE L KENNEDY DPM (OWNER)
(904) 323-0954
Entity
Organization
Contact information
Practice address
8021 PHILIPS HWY STE 1, JACKSONVILLE, FL 32256-7460
(904) 323-0954
(904) 660-2125
Mailing address
8021 PHILIPS HWY STE 1, JACKSONVILLE, FL 32256-7460
(904) 323-0954
(904) 660-2125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020165000
—
FL
Enumeration date
12/01/2015
Last updated
03/20/2024
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