OrganizationActive
Jla Senior Footcare Ms LLC
NPI 1508161597 · Foot Surgery Podiatrist · Petal, MS
Provider details
- NPI number
- 1508161597
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Innocenzi, Owner(330) 702-0978
- License
- 80205 (MS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
300 Ark Ln
Petal, MS 39465-3606
Phone: (330) 702-0978
Approximate (ZIP-level) locationGet directions
Mailing address
4870 S Aspen Ct
Canfield, OH 44406-8469
Registry dates
- Enumerated
- 2011-01-21
- Last updated
- 2011-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.