Jacob Ivey is a Winter Garden, Florida based male podiatrist who is specialized in Primary Podiatric Medicine. Active license number of Jacob Ivey for Podiatry is PO4464 in Florida. Jacob Ivey provides care, treatment and management of the diabetic, elderly and circulation-impaired. The diagnosis, intervention and treatment on time may save patients from amputation, restore mobility or prevent other serious, more costly problems. By early detection patients can get appropriate treatment and prevent more serious problems.
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 - Primary Podiatric Medicine
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:
03 Feb, 2025
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
Podiatry
Florida
Primary
PO4464
Primary Podiatric Medicine
Florida
Secondary
PO4464
Podiatric Foot & Ankle Surgery
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 10 March, 2025.
Comments/ Reviews:
Similar Podiatrist in Winter Garden, FL
Roma Patel, DPM 13+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 15815 Shaddock Dr Ste 130, FL Phone: 407-605-2321 Fax: 407-671-4155