Adler, Philip Fred

Adler, Philip Fred is an individual health care provider with primary practice located at 3636 University Blvd S Bldg C, Jacksonville FL 32216-4250. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Adler, Philip Fred can be contacted via phone (904) 731-1711.

Contact Information

Primary practice address
3636 University Blvd S Bldg C Jacksonville FL 32216-4250
Phone: (904) 731-1711
Fax: (904) 731-9270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0000690 Florida

Profile Details

NPI number 1336109024
LBN Legal business name Adler, Philip Fred
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Feb 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336109024 NPPES
Florida Other P00757695 RAILROAD MEDICARE
Florida Other 87303 RAILROAD MEDICARE

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