| Total Foot Care And Wellness Clinic, Llc | |
|
8021 Philips Hwy Ste 1 Jacksonville FL 32256-7460 | |
| (904) 323-0954 | |
| (904) 660-2125 |
| Full Name | Total Foot Care And Wellness Clinic, Llc |
|---|---|
| Speciality | Podiatrist |
| Location | 8021 Philips Hwy Ste 1, Jacksonville, Florida |
| Authorized Official Name and Position | Candice L Kennedy (OWNER) |
| Authorized Official Contact | 9043230954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Foot Care And Wellness Clinic, Llc 8021 Philips Hwy Ste 1 Jacksonville FL 32256-7460 Ph: (904) 323-0954 | Total Foot Care And Wellness Clinic, Llc 8021 Philips Hwy Ste 1 Jacksonville FL 32256-7460 Ph: (904) 323-0954 |
| NPI Number | 1578938684 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 3870892805 |
|---|---|
| Medicare Enrollment ID | O20160426001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578938684 | NPI | - | NPPES |
| 020165000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Nanette Diaz-rispler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730116039 PECOS PAC ID: 1951304377 Enrollment ID: I20101129000419 |
| Provider Name | Jeffrey A Schoen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598826968 PECOS PAC ID: 4284774225 Enrollment ID: I20120105000814 |
| Provider Name | Candice L Kennedy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932539376 PECOS PAC ID: 3779898556 Enrollment ID: I20150824000968 |
| Provider Name | Jasmaine Shelford |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548531726 PECOS PAC ID: 2567680770 Enrollment ID: I20190611001989 |
| Provider Name | Hariklia Bezhani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609260967 PECOS PAC ID: 4981950771 Enrollment ID: I20210203001238 |
| Provider Name | Jessika N Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699357574 PECOS PAC ID: 3779992268 Enrollment ID: I20210513001383 |
| Provider Name | Frank L Spinner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447364997 PECOS PAC ID: 3577457928 Enrollment ID: I20210521001190 |
| Provider Name | Meenakshi Vij |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154397313 PECOS PAC ID: 0143251371 Enrollment ID: I20220114001241 |
| Provider Name | Michael L Monter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497081228 PECOS PAC ID: 8426237348 Enrollment ID: I20220509001171 |
| Provider Name | Mindy Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053069997 PECOS PAC ID: 4789062506 Enrollment ID: I20220607003374 |
| Provider Name | Norma A Ceja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760941520 PECOS PAC ID: 0547649840 Enrollment ID: I20220616001026 |
| Provider Name | Djephlie Calixte Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972167716 PECOS PAC ID: 8628457884 Enrollment ID: I20220617000445 |
| Provider Name | Salvatore S Meleca |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477116721 PECOS PAC ID: 3577948082 Enrollment ID: I20220920002361 |
| Provider Name | Deanna Cheree Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992423057 PECOS PAC ID: 9739557935 Enrollment ID: I20221118002027 |
| Provider Name | Jessica Cummings-nigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598475394 PECOS PAC ID: 3173992195 Enrollment ID: I20221214002956 |
| Provider Name | Kevin Straszacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538886833 PECOS PAC ID: 9739551367 Enrollment ID: I20230208001969 |
| Provider Name | Alexandria M Mccloud |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609496470 PECOS PAC ID: 2264854868 Enrollment ID: I20230713003912 |
| Provider Name | Jessica C Woodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114563301 PECOS PAC ID: 5294180493 Enrollment ID: I20231009000034 |
| Provider Name | Claudia Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013524248 PECOS PAC ID: 1456700566 Enrollment ID: I20231214003431 |
| Provider Name | Lauren Kominars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871368233 PECOS PAC ID: 8123477130 Enrollment ID: I20231214003703 |
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Centerwell Senior Primary Care Fl Jv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Philips Hwy, Jacksonville, FL 32207 Phone: 407-447-7120 | |
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Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |