Organization
ADLER PODIATRY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE GUENTHER (OFFICE MANAGER)
(904) 731-1711
Entity
Organization
Contact information
Practice address
3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL 32216-4250
(904) 731-1711
(904) 731-9270
Mailing address
3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL 32216-4250
(904) 731-1711
(904) 731-9270
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002RX
BCBSFL
FL
01
—
DS3051
RR MEDICARE
FL
Enumeration date
12/08/2011
Last updated
10/30/2013
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