OrganizationActive
First Coast Foot & Ankle Clinic Inc
NPI 1013120963 · Foot Surgery Podiatrist · Jacksonville, FL
Provider details
- NPI number
- 1013120963
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Vimal Reddy, Owner Physician
- License
- PO3091 (FL)
Practice location
8075 Gate Pkwy W
Suite 301
Jacksonville, FL 32216-3684
Phone: (904) 739-9129
Fax: (904) 739-9127
Mailing address
8075 Gate Pkwy W
Jacksonville, FL 32216-3684
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2015-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.