Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jrj Podiatry Inc

Organization Podiatrist · NPI 1083610638

Jrj Podiatry Inc provides Podiatrist services in Lauderdale Lakes, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 N State Road 7 Ste 412
Lauderdale Lakes, FL 33319-4882 Not confirmed with CMS for 17 years — call before visiting
Phone: (954) 731-0028
Fax: (954) 731-0288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO2654 (FL)

Record details

NPI number1083610638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Johnson — Owner/President · (954) 731-0028
NPI enumeratedJune 27, 2005
Last updated in NPPESDecember 29, 2008
Mailing address4000 N State Road 7, Ste 412, Lauderdale Lakes, FL 33319-4882