OrganizationActive
Jla Senior Footcare Fla LLC
NPI 1477869204 · Foot Surgery Podiatrist · Daytona Beach, FL
Provider details
- NPI number
- 1477869204
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Innocenzi, Owner(330) 702-0978
- License
- PO 3438 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
425 N Peninsula Dr Ste a
Daytona Beach, FL 32118-4082
Phone: (386) 252-4678
Approximate (ZIP-level) locationGet directions
Mailing address
4870 S Aspen Ct
Canfield, OH 44406-8469
Registry dates
- Enumerated
- 2010-08-31
- Last updated
- 2010-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.