Podiatry Associates of Northeast Florida Inc – Podiatrist, NPI 1255432746
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Podiatry Associates of Northeast Florida Inc
5911 TIMUQUANA RD UNIT 300
JACKSONVILLE, FL 322107897
Phone: (904) 251-5053
Fax: (904) 224-2002
Type: Mailing
4625 E BAY DR STE 106
CLEARWATER, FL 337646866
Phone: (904) 251-5053
Fax: (904) 224-2002
Type: Location
12, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
ORANGE PARK, FL 320735129
Phone: (904) 224-2001
Fax: (904) 224-2002
Type: Mailing
1740, Edgewood Avenue West, Lake Forest Hills, Jacksonville, Duval County, Florida, 32208, United States
JACKSONVILLE, FL 322083260
Phone: (904) 224-2001
Fax: (904) 224-2002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-03-24
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32210)
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