NPI 1477814176 · live from the CMS NPI Registry
Adler Podiatry Clinic PLLC
Podiatrist, Foot & Ankle Surgery in Jacksonville Beach, FL. National Provider Identifier 1477814176, active.
NPI record
| NPI | 1477814176 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 320 1st St N, Suite 709, Jacksonville Beach, FL 32250 |
| Practice phone | 904-731-1711 |
| Mailing address | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216 |
| Enumerated | May 30, 2012 |
| Last updated | May 30, 2012 |
| Authorized official | Philip Adler, Owner/Podiatrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO3414 (FL) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO2158 (FL) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO3516 (FL) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | PO690 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.