Eric W Shultz Dpm Pa
LBN: Eric W Shultz Dpm Pa
Eric W Shultz Dpm Pa is an health care organization with primary practice located at 10250 Normandy Blvd Suite 205, Jacksonville FL 32221-0000. The organization recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty.
Eric W Shultz Dpm Pa can be contacted via phone (904) 551-1765, or through Lundeen, Kelley M via phone (904) 551-1765.
Contact Information
Primary practice address
10250 Normandy Blvd Suite 205
Jacksonville FL 32221-0000
Phone: (904) 551-1765
Fax: (904) 388-8263
Website:
Authorized official contact:
Name: Lundeen, Kelley M Doctor of Podiatric Medicine (DPM)
Phone: (904) 551-1765
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO1898 | Florida |
Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | PO1898 | Florida |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO1898 | Florida |
Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | PO1898 | Florida |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1898 | Florida |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO1898 | Florida |
Profile Details
NPI number | 1326250010 |
---|---|
LBN Legal business name | Eric W Shultz Dpm Pa |
DBA Doing business as | |
Authorized official | Lundeen, Kelley M Doctor of Podiatric Medicine (DPM) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 4th, 2007 |
Last updated | Jul 8th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326250010 | NPPES |
Florida | MEDICAID | 390193900 | |
Florida | Other | 480020923 | |
Florida | Other | 65159 |
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