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Contact Information

ERIC W SHULTZ, DPM
1205 BEACH BLVD
JACKSONVILLE BEACH, FL32250-3405
 Phone: 904-389-0346
 Fax: 904-246-5449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ERIC W SHULTZ · (Male)

NPI Number 1366628075
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/11/2008
Last updated 04/03/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO1898
  • FL Medicaid 390193900
  • FL Other 65159 BLUE CROSS BLUE SHIELD
  • FL Other 480020923 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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