Foot Ankle & Wound Care Center Corp

LBN: Foot Ankle & Wound Care Center Corp
Foot Ankle & Wound Care Center Corp is an health care organization with primary practice located at 2262 Dunn Ave Suite #3, Jacksonville FL 32218-4720. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Foot Ankle & Wound Care Center Corp can be contacted via phone (904) 666-5170, or through Gordon, Diandra K via phone (904) 666-5170.

Contact Information

Primary practice address
2262 Dunn Ave Suite #3 Jacksonville FL 32218-4720
Phone: (904) 666-5170
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Diandra K Doctor of Podiatric Medicine (DPM)
Phone: (904) 666-5170

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3624 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO3308 Florida

Profile Details

NPI number 1598127151
LBN Legal business name Foot Ankle & Wound Care Center Corp
DBA Doing business as
Authorized official Gordon, Diandra K Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2016
Last updated Nov 17th, 2016 - about 8 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 1598127151 NPPES
Florida MEDICAID 010198600

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