Jla Senior Footcare Fla LLC
Jla Senior Footcare Fla LLC provides Foot Surgery Podiatrist services in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
425 N Peninsula Dr Ste ADaytona Beach, FL 32118-4082 Not confirmed with CMS for 16 years — call before visiting
Phone: (386) 252-4678
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence PO 3438 (FL) |
|---|
Record details
| NPI number | 1477869204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Innocenzi — Owner · (330) 702-0978 |
| NPI enumerated | August 31, 2010 |
| Last updated in NPPES | August 31, 2010 |
| Mailing address | 4870 S Aspen Ct, Canfield, OH 44406-8469 |