MEDICARE: NORTH FLORIDA FOOT & ANKLE SPECIALISTS LLC

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
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1245999853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH FLORIDA FOOT & ANKLE SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	456 SE BAYA DR
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-6020
Country	:	US
Telephone Number	:	352-525-2779
Fax Number	:	352-525-2794

Provider Business Practice Location Address
First Line	:	456 SE BAYA DRIVE
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-6020
Country	:	US
Telephone Number	:	352-525-2779
Fax Number	:	352-525-2794

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JOSHUA ERIC EPSTEIN
Credential	:
Telephone Number	:	352-525-2779

Provider Enumeration Date	:	12/10/2021
Last Update Date	:	01/29/2026

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