| NPI | 1841254786 |
|---|---|
| Former Legal Business Name | PODIATRY ASSOCIATES OF NORTHEAST FLORIDA, INC. |
| Entity Type | Organization |
| Authorized Contact | JEANNIE M BASKIN Corporate Administrator 904-251-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-07-15 |