NPI 1396920658 · live from the CMS NPI Registry
Joy A Anderson, DPM
Podiatrist, Foot & Ankle Surgery in Fernandina, FL. National Provider Identifier 1396920658, active.
NPI record
| NPI | 1396920658 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1325 Atlantic Ave, Fernandina, FL 32034 |
| Practice phone | 904-261-3653 |
| Enumerated | January 7, 2008 |
| Last updated | September 29, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | PO 3335 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.