| East Coast Podiatry Inc | |
|
233 Osceola Ave, Ormond Beach, FL 32176-6638 | |
| (386) 672-6424 | |
| (386) 672-5251 |
| Full Name | East Coast Podiatry Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 233 Osceola Ave, Ormond Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014208 | NPI | - | NPPES |
| K0055 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Farrar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992798318 PECOS PAC ID: 4183753619 Enrollment ID: I20100521000465 |
| Provider Name | Donald Charles Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386637700 PECOS PAC ID: 1759368400 Enrollment ID: I20100521000630 |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Podiatry Inc 233 Osceola Ave, Ormond Beach, FL 32176-6638 Ph: (386) 672-6424 | East Coast Podiatry Inc 233 Osceola Ave, Ormond Beach, FL 32176-6638 Ph: (386) 672-6424 |
Michael W Mcdonough, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 595 W Granada Blvd, Siute F, Ormond Beach, FL 32174 Phone: 386-673-2266 Fax: 386-676-2772 | |
Florida Podiatry Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 335 Clyde Morris Blvd, Suite 160, Ormond Beach, FL 32174 Phone: 386-672-9797 Fax: 386-615-0460 | |
Donna Jean Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 335 Clyde Morris Blvd, Suite #160, Ormond Beach, FL 32174 Phone: 386-672-9797 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 595 W Granada Blvd Ste F, Ormond Beach, FL 32174 Phone: 386-673-2266 | |
Dr. Donald Charles Johnson Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 233 Osceola Ave, Ormond Beach, FL 32176 Phone: 386-672-6424 Fax: 386-672-5251 | |
Daria P Mcdonough, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 284 N Halifax Dr, Ormond Beach, FL 32176 Phone: 386-672-9932 Fax: 386-672-4201 |