First Coast Podiatry, P A

LBN: First Coast Podiatry, P A
First Coast Podiatry, P A is an health care organization with primary practice located at 3115 Spring Glen Rd Ste 507 , Jacksonville FL 32207-5907. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. First Coast Podiatry, P A can be contacted via phone (904) 354-1192, or through Smith-Cameron, Jaynell via phone (904) 354-1192.

Contact Information

Primary practice address
3115 Spring Glen Rd Ste 507 Jacksonville FL 32207-5907
Phone: (904) 354-1192
Fax: (904) 354-1193
Website:
Map and Directions
Authorized official contact:
Name: Smith-Cameron, Jaynell Doctor of Podiatric Medicine (DPM)
Phone: (904) 354-1192

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2487 Florida

Profile Details

NPI number 1881876902
LBN Legal business name First Coast Podiatry, P A
DBA Doing business as
Authorized official Smith-Cameron, Jaynell Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Jun 28th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881876902 NPPES
Florida MEDICAID 340105700

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