Organization
PODIATRY ASSOCIATES OF FLORIDA, INC.
Active
Other names
Podiatry Associates of Northeast Florida, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE M BASKIN (CORPORATE ADMINISTRATOR)
(904) 251-5053
Entity
Organization
Contact information
Practice address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 251-5053
(904) 224-2002
Mailing address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 251-5053
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21698
GROUP BC/BS PROVIDER #
—
Enumeration date
04/17/2006
Last updated
07/15/2021
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