NPI 1265819700 · live from the CMS NPI Registry
Anish Y Amin, DPM
Podiatrist in Jacksonville, FL. National Provider Identifier 1265819700, active.
NPI record
| NPI | 1265819700 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 |
| Practice phone | 904-778-3000 |
| Enumerated | May 5, 2015 |
| Last updated | April 17, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO4111 (FL) |
| Podiatrist primary | 213E00000X | PO4111 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.