FOOT ANKLE & WOUND CARE CENTER CORP


Address: 2262 Dunn Ave, Suite #3, Jacksonville, FL 32218-4720
Phone: 9046665170

FOOT ANKLE & WOUND CARE CENTER CORP (NPI# 1598127151) 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) 1598127151
Entity Type Organization
Organization Name FOOT ANKLE & WOUND CARE CENTER CORP
Practice Address 2262 Dunn Ave
Suite #3
Jacksonville
FL 32218-4720
Practice Telephone 9046665170
Mailing Telephone 9046665170
Enumeration Date 2016-03-23
Last Update Date 2016-11-17
Authorized Official Name MS. DIANDRA K GORDON (OWNER/CEO)
Authorized Official Telephone 9046665170
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0131X Podiatrist
Specialization: Foot Surgery
PO3308 FL Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
PO3624 FL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 010198600 05

Office Location

Street Address 2262 DUNN AVE
SUITE #3
City JACKSONVILLE
State FL
Zip Code 32218-4720

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NPI Name Taxonomy Address Enumeration
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1952894784 Michael Alexander Aaro Dentist 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 2018-06-06
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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
1295264224 Podiatrist On Call, LLC Podiatrist 2720 Park St Ste 210, Jacksonville, FL 32205-7645 2017-06-04
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
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32218

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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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