Jrj Podiatry Inc

LBN: Jrj Podiatry Inc
Jrj Podiatry Inc is an health care organization with primary practice located at 4000 N State Road 7 Ste 412, Lauderdale Lakes FL 33319-4882. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Jrj Podiatry Inc can be contacted via phone (954) 731-0028, or through Johnson, Jeanette R via phone (954) 731-0028.

Contact Information

Primary practice address
4000 N State Road 7 Ste 412 Lauderdale Lakes FL 33319-4882
Phone: (954) 731-0028
Fax: (954) 731-0288
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jeanette R Doctor of Podiatric Medicine (DPM)
Phone: (954) 731-0028

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2654 Florida

Profile Details

NPI number 1083610638
LBN Legal business name Jrj Podiatry Inc
DBA Doing business as
Authorized official Johnson, Jeanette R Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Dec 29th, 2008 - about 16 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 1083610638 NPPES
Florida MEDICAID 390400801

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