Organization
PODIATRY ASSOCIATES OF FLORIDA INC
Active
Other names
Podiatry Associates of Northeast Florida Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G SINCHUK (CORPORATE ADMINISTRATOR)
(904) 224-2001
Entity
Organization
Contact information
Practice address
320 DUNDAS DR, STE 7-8, JACKSONVILLE, FL 32218-8502
(904) 757-4523
(904) 726-9987
Mailing address
3117 SPRING GLEN RD, STE 402, JACKSONVILLE, FL 32207-5906
(904) 224-2001
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO-01121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48002574
RAILROAD MEDICARE
—
01
—
65770
BLUE CROSS BLUE SHIELD
—
01
—
87606
BLUE CROSS BLUE SHIELD
—
01
—
CI4974
RAILROAD MEDICARE
—
01
—
DA0704
RAILROAD MEDICARE
—
01
—
P00008626
RAILROAD MEDICARE
—
Enumeration date
06/13/2007
Last updated
09/03/2009
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