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SOUTHEASTERN PODIATRY CLINIC PA
NPI 1245427525
Podiatrist - Foot & Ankle Surgery in Tallahassee, FL

Active since October 01, 2007
1580 WALDO PALMER LN STE 1A, TALLAHASSEE, FL 32308(850) 942-0096 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Southeastern Podiatry Clinic Pa NPPES

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

SOUTHEASTERN PODIATRY CLINIC PA (NPI 1245427525) is a healthcare organization registered as a foot & ankle surgery in Tallahassee, Florida and active in the NPI registry since October 2007. The organization lists Paul Reynolds, President, as its authorized official.

NPPES Registry Identity

NPI1245427525
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOUTHEASTERN PODIATRY CLINIC PA
Location Address1580 WALDO PALMER LN STE 1ATallahassee, FL 32308-6049
Mailing Address1580 Waldo Palmer Ln Ste 1aTallahassee, FL 32308-6049 · (850) 942-0096
Phone(850) 942-0096
Organization SubpartNo
Authorized OfficialPaul ReynoldsPresident · (850) 942-0096
Enumeration DateOctober 1, 2007
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1245427525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO2918
1580 WALDO PALMER LN STE 1A, Tallahassee, FL 32308
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Other Identifiers 1

Medicaid340286000FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 2

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

MR. PAUL D REYNOLDS D.P.M.
Podiatrist
1580 WALDO PALMER LN STE 1A
TALLAHASSEE, FL 32308
Leon County (850) 942-0096
REBECA HELEN RAY-GILLIS DPM
Podiatrist (Foot & Ankle Surgery)
1580 WALDO PALMER LN STE 1A
TALLAHASSEE, FL 32308
Leon County (850) 942-0096

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 Southeastern Podiatry Clinic PA's NPI number?

The NPI number for Southeastern Podiatry Clinic PA is 1245427525. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Southeastern Podiatry Clinic PA located?

Southeastern Podiatry Clinic PA is located at 1580 Waldo Palmer Ln Ste 1A, Tallahassee, FL 32308. The listed phone number is (850) 942-0096.

What is Southeastern Podiatry Clinic PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Southeastern Podiatry Clinic PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southeastern Podiatry Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Podiatry Clinic PA was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.