Jla Senior Footcare MS LLC
Jla Senior Footcare MS LLC provides Foot Surgery Podiatrist services in Petal, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.
- Licensed in
- MS
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
300 Ark LnPetal, MS 39465-3606 Not confirmed with CMS for 15 years — call before visiting
Phone: (330) 702-0978
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 80205 (MS) |
|---|
Record details
| NPI number | 1508161597 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Innocenzi — Owner · (330) 702-0978 |
| NPI enumerated | January 21, 2011 |
| Last updated in NPPES | January 21, 2011 |
| Mailing address | 4870 S Aspen Ct, Canfield, OH 44406-8469 |