Eric W Shultz Dpm Pa

LBN: Eric W Shultz Dpm Pa
Eric W Shultz Dpm Pa is an health care organization with primary practice located at 10250 Normandy Blvd Suite 205, Jacksonville FL 32221-0000. The organization recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty. Eric W Shultz Dpm Pa can be contacted via phone (904) 551-1765, or through Lundeen, Kelley M via phone (904) 551-1765.

Contact Information

Primary practice address
10250 Normandy Blvd Suite 205 Jacksonville FL 32221-0000
Phone: (904) 551-1765
Fax: (904) 388-8263
Website:
Map and Directions
Authorized official contact:
Name: Lundeen, Kelley M Doctor of Podiatric Medicine (DPM)
Phone: (904) 551-1765

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Public Medicine 213EP0504X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO1898 Florida

Profile Details

NPI number 1326250010
LBN Legal business name Eric W Shultz Dpm Pa
DBA Doing business as
Authorized official Lundeen, Kelley M Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326250010 NPPES
Florida MEDICAID 390193900
Florida Other 480020923
Florida Other 65159

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