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FOOT & ANKLE SPECIALISTS OF JACKSONVILLE, INC.
NPI 1205105939
Podiatrist in Jacksonville, FL

Active since December 27, 2011
3890 DUNN AVE, STE 101, JACKSONVILLE, FL 32218(904) 619-9338(904) 619-9677 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Foot & Ankle Specialists Of Jacksonville, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOT & ANKLE SPECIALISTS OF JACKSONVILLE, INC. (NPI 1205105939) is a healthcare organization registered as a podiatrist in Jacksonville, Florida and active in the NPI registry since December 2011. The organization lists Eugene E. Ruckh, President, as its authorized official.

NPPES Registry Identity

NPI1205105939
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFOOT & ANKLE SPECIALISTS OF JACKSONVILLE, INC.
Location Address3890 DUNN AVE, STE 101Jacksonville, FL 32218-6428
Mailing Address3890 Dunn Ave, Ste 101Jacksonville, FL 32218-6428 · (904) 619-9338 · Fax (904) 619-9677
Phone(904) 619-9338
Fax(904) 619-9677
Organization SubpartNo
Authorized OfficialEugene E. RuckhPresident · (904) 619-9338
Enumeration DateDecember 27, 2011
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1205105939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in FL · PO3048
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3890 DUNN AVE, Jacksonville, FL 32218
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Other Identifiers 2

Medicare UPINU96342FL
Medicare PIN65809AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSI BEHAVIORAL HEALTH LLC
Case Management
3890 DUNN AVE, SUITE 1104
JACKSONVILLE, FL 32218
Duval County (904) 723-6049
FIRST COAST CARDIOVASCULAR INSTITUTE, LLC
Internal Medicine (Cardiovascular Disease)
3890 DUNN AVE, STE 203
JACKSONVILLE, FL 32218
Duval County (904) 493-3333
MARIE MICHELLE BROOKS
Counselor (Addiction (Substance Use Disorder))
3890 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
AMIT CHOKSHI MD PA
Ophthalmology
3890 DUNN AVE, STE 902
JACKSONVILLE, FL 32218
Duval County (904) 346-3506
ANDREW WALLIN LMHC
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
FRANCESCA JULES BA
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
DR. TINA NANNETTE TILLIS MD
Ophthalmology
3890 DUNN AVE, #902
JACKSONVILLE, FL 32218
Duval County (904) 345-3473
JACQUELINE TYSON
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 765-0665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foot & Ankle Specialists Of Jacksonville, Inc.'s NPI number?

The NPI number for Foot & Ankle Specialists Of Jacksonville, Inc. is 1205105939. It was assigned to this organization in the NPPES registry on December 27, 2011.

Where is Foot & Ankle Specialists Of Jacksonville, Inc. located?

Foot & Ankle Specialists Of Jacksonville, Inc. is located at 3890 Dunn Ave Ste 101, Jacksonville, FL 32218. The listed phone number is (904) 619-9338.

What is Foot & Ankle Specialists Of Jacksonville, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Foot & Ankle Specialists Of Jacksonville, Inc. was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.