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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 010198600 | 05 |
Street Address |
2262 DUNN AVE SUITE #3 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32218-4720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912014937 | Pediatric Smiles, Inc | Dentist | 2262 Dunn Ave, Ste 4, Jacksonville, FL 32218 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
Find all providers in zip 32218 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32218 |
Please comment or provide details below to improve the information on FOOT ANKLE & WOUND CARE CENTER CORP.
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.