PODIATRY ASSOCIATES OF FLORIDA INC (NPI# 1578664074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578664074 |
| Entity Type | Organization |
| Organization Name | PODIATRY ASSOCIATES OF FLORIDA INC |
| Other Organization Name | PODIATRY ASSOCIATES OF NORTHEAST FLORIDA INC |
| Practice Address |
1361 13th Ave S Ste 120 Jacksonville Beach FL 32250-3233 |
| Mailing Address |
2140 Kingsley Ave Ste 12 Orange Park FL 32073-5129 |
| Practice Telephone | 9042242001 |
| Practice Fax Number | 9042242002 |
| Mailing Telephone | 9042242001 |
| Mailing Fax Number | 9042242002 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | JEANNIE M BASKIN (CORPORATE ADMINISTRATOR) |
| Authorized Official Telephone | 9042242001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 65767 | 01 | |
| RAILROAD MEDICARE | CI4974 | 01 | |
| RAILROAD MEDICARE | P00249337 | 01 | |
| FL | 041050100 | 05 | |
| RAILROAD MEDICARE | 480028094 | 01 | |
| BLUE CROSS BLUE SHIELD | 65207 | 01 | |
| BLUE CROSS BLUE SHIELD | 87368 | 01 | |
| RAILROAD MEDICARE | DC3124 | 01 | |
| RAILROAD MEDICARE | P00603529 | 01 |
| Other Name | Type Code |
|---|---|
| Podiatry Associates of Northeast Florida Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306032586 | Podiatry Associates of Florida Inc | Podiatrist | 220 Southpark Cir E, St Augustine, FL 32086-5135 | 2007-09-20 |
| 1457432387 | Podiatry Associates of Florida Inc | Podiatrist | 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 | 2006-10-18 |
| 1376644732 | Podiatry Associates of Florida Inc | Podiatrist | 1384 S.e. Baya Dr., Ste 150, Lake City, FL 32025-4888 | 2006-09-26 |
| 1730280249 | Podiatry Associates of Florida Inc | Podiatrist | 2140 Kingsley Ave Ste 12, Orange Park, FL 32073 | 2006-09-26 |
| 1417137183 | Podiatry Associates of Florida Inc | Podiatrist | 13241 Bartram Park Blvd, Ste 1809, Jacksonville, FL 32258-5212 | 2007-11-09 |
| 1598951683 | Podiatry Associates of Florida Inc | Podiatrist | 8825 Perimeter Park Blvd, Ste 202, Jacksonville, FL 32216-1108 | 2007-09-21 |
| 1477749604 | Podiatry Associates of Florida Inc | Podiatrist | 953 Lane Ave S, Jacksonville, FL 32205-4706 | 2007-09-21 |
| 1679777668 | Podiatry Associates of Florida Inc | Podiatrist | 320 Dundas Dr, Ste 7-8, Jacksonville, FL 32218-8502 | 2007-06-13 |
| 1568543494 | Podiatry Associates of Florida Inc | Podiatrist | 1914 Southside Blvd, Ste 1, Jacksonville, FL 32216-1930 | 2006-10-18 |
| 1083715502 | Podiatry Associates of Florida Inc | Podiatrist | 2140 Kingsley Ave, Ste 12, Orange Park, FL 32073-5180 | 2006-09-26 |
| Street Address |
1361 13TH AVE S STE 120 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949746 | Thomas Carens Hilton | Internal Medicine | 1361 13th Ave S, Ste 270, Jacksonville Beach, FL 32250 | 2005-08-15 |
| 1336511690 | Physicians Group Services, Pa | Pain Medicine | 1361 13th Ave S, Unit 250, Jacksonville Beach, FL 32250-3233 | 2015-10-27 |
| 1649672866 | Alesha Wilson | Nurse Practitioner | 1361 13th Ave S, Jacksonville Beach, FL 32250-3233 | 2014-09-18 |
| 1730590217 | Valerie Brink Lmhc Pa | Counselor | 1361 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3233 | 2014-05-18 |
| 1134548167 | Ashley Saliba Hill | Physician Assistant | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2014-04-07 |
| 1598015133 | Nagula & Associates, Pllc | Physical Medicine & Rehabilitation | 1361 13th Ave S, Suite 140, Jacksonville Beach, FL 32250-3233 | 2012-09-11 |
| 1326311465 | Baptist Cardiology, Inc. | Internal Medicine | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2012-02-21 |
| 1912138512 | Hazeline Katherine Mccabe | Physician Assistant | 1361 13th Ave S, Ste 150, Jacksonville Beach, FL 32250-3233 | 2009-07-30 |
| 1538395116 | Michael William Riesmeyer | Massage Therapist | 1361 13th Ave S, Suite 210, Jacksonville Beach, FL 32250-3233 | 2009-06-09 |
| 1558509596 | Neurology Associates of North Florida Diagnostics,inc. | Legal Medicine | 1361 13th Ave S, Ste 170a, Jacksonville Beach, FL 32250-3233 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578696878 | Podiatry & Barefoot Wellness Centers LLC | Podiatrist | 1205 Beach Blvd, Jacksonville Beach, FL 32250-3405 | 2007-03-14 |
| 1669843751 | George S Tellam Dpm | Podiatrist | 2710 3rd St S, Jacksonville Beach, FL 32250-6028 | 2015-10-14 |
| 1326488255 | Adler Podiatry Clinic Pllc | Podiatrist | 3316 3rd St S, Suite 201, Jacksonville Beach, FL 32250-6073 | 2013-06-25 |
| 1366628075 | Eric W Shultz | Podiatrist | 1205 Beach Blvd, Jacksonville Beach, FL 32250-3405 | 2008-01-11 |
| 1912030214 | Howard J Groshell | Podiatrist | 1205 Beach Blvd, Jacksonville Beach, FL 32250-3405 | 2007-03-14 |
| 1790740314 | Thomas P Broner | Podiatrist | 1361 13th Ave S, Ste 120, Jacksonville Beach, FL 32250-3233 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.