MEDICARE: UPPERLINE HEALTHCARE, PC

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

General Provider Information

NPI Number	:	1639904964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPPERLINE HEALTHCARE, PC

Provider Business Mailing Address
First Line	:	4101 CHARLOTTE AVE STE F185
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1890 LPGA BLVD STE 250
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-7131
Country	:	US
Telephone Number	:	386-339-4065
Fax Number	:	855-439-9682

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL KING
Credential	:
Telephone Number	:	407-219-5402

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	05/29/2026

Similar Medicare Providers

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

1154349082 — ATLANTIC PODIATRY ASSOCIATES DPM PA
Practice Location Address:

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

Practice Phone: 386-274-3336
Practice Fax: 386-274-3660

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 “UPPERLINE HEALTHCARE, PC ” 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.