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JLA SENIOR FOOTCARE FLA LLC
NPI 1477869204
Podiatrist - Foot Surgery in Daytona Beach, FL

Active since August 31, 2010
425 N PENINSULA DR STE A, DAYTONA BEACH, FL 32118(386) 252-4678 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jla Senior Footcare Fla Llc NPPES

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

JLA SENIOR FOOTCARE FLA LLC (NPI 1477869204) is a healthcare organization registered as a foot surgery in Daytona Beach, Florida and active in the NPI registry since August 2010. The organization lists Anthony Innocenzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1477869204
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameJLA SENIOR FOOTCARE FLA LLC
Location Address425 N PENINSULA DR STE ADaytona Beach, FL 32118-4082
Mailing Address4870 S Aspen CtCanfield, OH 44406-8469
Phone(386) 252-4678
Organization SubpartNo
Authorized OfficialAnthony InnocenziOwner · (330) 702-0978
Enumeration DateAugust 31, 2010
✔ NPI 1477869204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in FL · PO 3438
425 N PENINSULA DR STE A, Daytona Beach, FL 32118
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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

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 Jla Senior Footcare Fla LLC's NPI number?

The NPI number for Jla Senior Footcare Fla LLC is 1477869204. It was assigned to this organization in the NPPES registry on August 31, 2010.

Where is Jla Senior Footcare Fla LLC located?

Jla Senior Footcare Fla LLC is located at 425 N Peninsula Dr Ste A, Daytona Beach, FL 32118. The listed phone number is (386) 252-4678.

What is Jla Senior Footcare Fla LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Jla Senior Footcare Fla LLC was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.