Provider Demographics
NPI:1245999853
Name:NORTH FLORIDA FOOT & ANKLE SPECIALISTS LLC
Entity type:Organization
Organization Name:NORTH FLORIDA FOOT & ANKLE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-880-9735
Mailing Address - Street 1:456 SE BAYA DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-6020
Mailing Address - Country:US
Mailing Address - Phone:352-525-2779
Mailing Address - Fax:352-525-2794
Practice Address - Street 1:456 SE BAYA DRIVE
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-6020
Practice Address - Country:US
Practice Address - Phone:352-525-2779
Practice Address - Fax:352-525-2794
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH FLORIDA FOOT & ANKLE SPECIALISTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-10
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty