MEDICARE: ATLANTIC PODIATRY ASSOCIATES DPM PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154349082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PODIATRY ASSOCIATES DPM PA

Provider Business Mailing Address
First Line	:	1890 LPGA BLVD
Second Line	:	STE 230
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-7131
Country	:	US
Telephone Number	:	386-274-3336
Fax Number	:	386-274-3660

Provider Business Practice Location Address
First Line	:	1890 LPGA BLVD
Second Line	:	STE 230
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-7131
Country	:	US
Telephone Number	:	386-274-3336
Fax Number	:	386-274-3660

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JAMES W RUST
Credential	:	DPM
Telephone Number	:	386-274-3336

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/31/2020

Similar Medicare Providers

1639904964 — UPPERLINE HEALTHCARE, PC
Practice Location Address:

1890 LPGA BLVD STE 250
DAYTONA BEACH, FL
32117-7131

Practice Phone: 386-339-4065
Practice Fax: 855-439-9682

1720083678 — MICHAEL PAUL HARRINGTON M.D.
Practice Location Address:

1890 LPGA BLVD , STE 250
DAYTONA BEACH, FL
32117-7131

Practice Phone: 386-274-0260
Practice Fax: 386-274-0269

1881699403 — DAVID GORTON RAMSHAW M.D.
Practice Location Address:

1890 LPGA BLVD , STE 250
DAYTONA BEACH, FL
32117-7131

Practice Phone: 386-274-0250
Practice Fax: 386-274-0269

1689865453 — DR. DENNIS BRUCE MCBROOM JR. D.P.M.
Practice Location Address:

1890 LPGA BLVD STE 250
DAYTONA BEACH, FL
32117-7131

Practice Phone: 386-339-4065
Practice Fax:

1396992715 — COURTNEY BOGUNOVIC DPM
Practice Location Address:

1890 LPGA BLVD STE 230
DAYTONA BEACH, FL
32117-7131

Practice Phone: 386-274-3336
Practice Fax:

1225341191 — KRISTIN WUNKER NELSON P.A.
Practice Location Address:

1890 LPGA BLVD STE 250
DAYTONA BEACH, FL
32117-7131

Practice Phone: 386-274-0250
Practice Fax: 386-274-0269

Directions to “ATLANTIC PODIATRY ASSOCIATES DPM PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.