Organization · Type 2 NPI
Jla Senior Footcare Fla LLC
Foot Surgery Podiatrist · Daytona Beach, FL
NPI number
1477869204
Active
Practice location
425 N Peninsula Dr Ste A
Daytona Beach, FL 32118-4082
Mailing address
4870 S Aspen Ct
Canfield, OH 44406-8469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | PO 3438 (FL) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1477869204
Jla Senior Footcare Fla LLC's National Provider Identifier is 1477869204, issued on Aug 31, 2010. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Daytona Beach, FL. The record was last updated on Aug 31, 2010.