Jacob Ivey is a Winter Garden, Florida based male podiatrist who is specialized in Podiatry. Active license number of Jacob Ivey for Podiatric Foot & Ankle Surgery is PO4464 in Florida. Jacob Ivey is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Jacob Ivey speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
15815 Shaddock Dr Ste 130, Winter Garden, Florida, 34787-5773
Phone:
407-605-2321
Fax:
407-671-4155
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1891374302
NPI Enumeration Date:
03 Apr, 2021
NPI Last Update On:
12 Aug, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Ivey are as mentioned below.
License Number
Specialization
State
Status
PO4464
Podiatric Foot & Ankle Surgery
Florida
Primary
PO4464
Podiatry
Florida
Secondary
PO4464
Primary Podiatric Medicine
Florida
Secondary
PO4464
Podiatric Foot Surgery
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacob Ivey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
16150857
Other
CAQH
YC4QH
Other
Florida
BCBS FL BLUE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15815 Shaddock Dr Ste 130, Winter Garden, Florida
Zip:
34787-5773
Phone Number:
813-400-1140
Fax Number:
813-701-9132
Patients can reach Jacob Ivey at 15815 Shaddock Dr Ste 130, Winter Garden, Florida or can call to book an appointment on 407-605-2321. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Similar Podiatrist in Winter Garden, FL
Roma Patel, DPM 12+ yr exp.Speciality: Podiatrist Address: 15815 Shaddock Dr Ste 130, FL Phone: 407-605-2321 Fax: 407-671-4155