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NPI 1326488255 · live from the CMS NPI Registry

Adler Podiatry Clinic PLLC

Podiatrist in Jacksonville Beach, FL. National Provider Identifier 1326488255, active.

NPI record

NPI1326488255 Type 2 · organization
StatusActive
Primary specialtyPodiatrist 213E00000X
Practice location3316 3rd St S, Suite 201, Jacksonville Beach, FL 32250
Practice phone904-731-1711
Mailing address3636 University Blvd S, Bldg C, Jacksonville, FL 32216
EnumeratedJune 25, 2013
Last updatedJune 25, 2013
Authorized officialPhilip Adler, Owner/Podiatrist

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist213E00000XPO2158 (FL)
Podiatrist213E00000XPO3516 (FL)
Podiatrist primary213E00000XPO690 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.