PODIATRIST ON CALL, LLC


Address: 2720 Park St Ste 210, Jacksonville, FL 32205-7645
Phone: (904) 707-8769

PODIATRIST ON CALL, LLC (NPI# 1295264224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295264224
Entity Type Organization
Organization Name PODIATRIST ON CALL, LLC
Practice Address 2720 Park St Ste 210
Jacksonville
FL 32205-7645
Mailing Address 1560 Lancaster Ter Apt 206
Jacksonville
FL 32204-4116
Practice Telephone (904) 707-8769
Practice Fax Number 8446635325
Mailing Telephone 9047078769
Mailing Fax Number 8446635325
Enumeration Date 2017-06-04
Last Update Date 2020-08-07
Authorized Official Name DR. TROY ADAM HARRIS (MANAGER)
Authorized Official Telephone 9047078769
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
PO3922 FL Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 2720 PARK ST STE 210
City JACKSONVILLE
State FL
Zip Code 32205-7645

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NPI Name Taxonomy Address Enumeration
1003466830 Brandon Neil Hillard Registered Nurse 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 2019-09-13
1720436363 Ericka Sampson Massage Therapist 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 2016-05-24
1578921631 Northstar Counseling Counselor 1672 Pershing Rd, Jacksonville, FL 32205 2016-02-04
1649645144 Magaly Perez-cruz Speech-Language Pathologist 4101-1 College Street, Jacksonville, FL 32205 2015-12-09
1639448723 First Choice Adult Daycare and Home Health Ca Specialist 5336 Quan Drive, Jacksonville, FL 32205 2011-12-20
1437434222 Christopher Styer Pharmacist 654 Casset Ave, Jacksonville, FL 32205 2011-10-12
1871827279 April Marie Felton Nurse Practitioner 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 2009-10-01
1922244821 Danielle Marie Sergent Physical Therapist 5222 Lenox Ave., Jacksonville, FL 32205 2008-12-23
1427181775 Lapp & Associates Behavioral Counselind Ctr Counselor 931 Cassat Avenue, Jacksonville, FL 32205 2007-03-14
1629143326 Elias Moussa Sargi Dentist 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 2006-11-21
Find all providers in zip 32205

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245751692 Florida Foot and Ankle,inc Podiatrist 13241 Bartram Park Blvd Unit 1805, Jacksonville, FL 32258-5227 2017-07-06
1992190524 Richard C Harris IIi Podiatrist 655 W 8th St # C126, Jacksonville, FL 32209 2015-03-31
1497167779 Jessica Isabel Popelka Podiatrist 13241 Bartram Park Blvd Unit 1809, Jacksonville, FL 32258-5227 2014-05-21
1417215609 Samuel D Kulick Dpm Podiatrist 9397 San Jose Blvd Ste 1, Jacksonville, FL 32257-5587 2012-04-25
1699053819 Troy A Harris Podiatrist 1560 Lancaster Ter Apt 206, Jacksonville, FL 32204-4116 2011-07-22
1679701429 Lindsay Mae Chandler Podiatrist 655 W 8th St # C-126, Jacksonville, FL 32209-6511 2009-06-30
1659557239 Foot Clinic-dr. S.f. Wernow Podiatrist 9397-1 San Jose Blvd, Jacksonville, FL 32257-5587 2008-01-14
1669692844 Sheldon F Wernow Podiatrist 9397 San Jose Boulevard, Suite 1, Jacksonville, FL 32257-5587 2007-04-27
1144352386 Richard I Polisner Podiatrist 4621 Emerson St, Jacksonville, FL 32207-4920 2007-03-12
1235276189 Jaynell Smith-cameron Podiatrist 2105 Park St, Ste B, Jacksonville, FL 32204-3871 2007-01-31
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32205

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Dataset Information

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.

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