| Southeastern Podiatry Clinic Pa | |
|
2858 Mahan Dr, Suite 1 & 2, Tallahassee, FL 32308-5446 | |
| (850) 942-0096 | |
| Not Available |
| Full Name | Southeastern Podiatry Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2858 Mahan Dr, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245427525 | NPI | - | NPPES |
| 340286000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO2918 (Florida) | Primary |
| Provider Name | Brian E Mccarthy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558370395 PECOS PAC ID: 7911897996 Enrollment ID: I20040316000554 |
| Provider Name | Paul D Reynolds |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174691489 PECOS PAC ID: 9638121155 Enrollment ID: I20050215000064 |
| Provider Name | Cynthia Correa-cedeno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023461480 PECOS PAC ID: 5294068714 Enrollment ID: I20190614000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Podiatry Clinic Pa 2858 Mahan Dr, Suite 1 & 2, Tallahassee, FL 32308-5446 Ph: (850) 942-0096 | Southeastern Podiatry Clinic Pa 2858 Mahan Dr, Suite 1 & 2, Tallahassee, FL 32308-5446 Ph: (850) 942-0096 |
Dr. Cynthia Correa-cedeno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 850 S Gadsden St, Tallahassee, FL 32301 Phone: 703-598-0619 | |
Mr. Paul D Reynolds, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2858 Mahan Dr, Suite 1 & 2, Tallahassee, FL 32308 Phone: 850-942-0096 | |
Kyle Jerry Flesher, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 1608 W Plaza Dr, Tallahassee, FL 32308 Phone: 850-942-2400 | |
Rebeca Helen Ray-gillis, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1580 Waldo Palmer Ln Ste 1a, Tallahassee, FL 32308 Phone: 850-942-0096 | |
Dr. Bryan A Spooner, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1866 Buford Blvd, Tallahassee, FL 32308 Phone: 850-878-6998 Fax: 850-656-9293 | |
Ambulatory Ankle And Foot Care Center Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1608 W Plaza Dr, Tallahassee, FL 32308 Phone: 850-942-2400 Fax: 850-942-7714 |