Jefferson Pearce Futch DPM

NPI 1629216528 - Podiatrist - 213E00000X

NPI Details
NPI 1629216528
Gender Male
Enumeration Date 01/30/2009
Last Updated 09/21/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
145 HILDEN RD
SUITE 103
PONTE VEDRA FL, 32081-8401, US
Phone (904) 615-1853
Fax (904) 615-1873
Business Location
145 HILDEN RD
SUITE 103
PONTE VEDRA FL, 32081-8401, US
Phone (904) 615-1853
Fax (229) 293-8338
Toxanomy
Taxonomy Code 213E00000X
License State Florida
License Number PO3392
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According to our database, Dr. Jefferson Pearce Futch DPM NPI is 1629216528, taxonomy code is 213E00000X and license number is PO3392, license state is located at Florida. Jefferson Pearce Futch DPM physically located at 145 Hilden Rd, Ponte Vedra FL, 32081-8401. NPI Number Jefferson Pearce Futch DPM has the Individual type.

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1629216528 NPI number is provided on an as is basis without warranty of any kind. 1629216528 is maintained by the National Plan & Provider Enumeration System. The contents of Jefferson Pearce Futch DPM are for informational purposes only.