Florida Podiatry PA

Organization Active NPI Foot & Ankle Surgery Podiatrist · Ormond Beach, FL

NPI 1093027815 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1093027815
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
Legal business name
FLORIDA PODIATRY PA
Practice address
335 Clyde Morris Blvd
Suite 160
Ormond Beach, FL 32174-3181
Phone
(386) 672-9797
Fax
(386) 615-0460
NPI assigned
Jul 9, 2010
Organization subpart
No

Authorized official

Name
Dr. Donna Jean Brown, DPM
Title
Owner/President
Phone
(386) 672-9797

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110309000354 FL Part B Supplier - Clinic/Group Practice 3072795251 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL
O20150204001014 FL DME Supplier - Physician - Podiatry 3072795251 Practice locations: Ormond Beach, FL

National Provider Directory

Locations

335 Clyde Morris Blvd
Ste 160
Ormond Beach, FL 32174
Phone (386) 672-9797

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0103X Yes

Addresses

Primary practice location

335 Clyde Morris Blvd
Suite 160
Ormond Beach, FL 32174-3181

Mailing address

335 Clyde Morris Blvd Ste 160
Ormond Beach, FL 32174-3196
Phone (386) 672-9797

Other providers in Ormond Beach, FL

All providers in Ormond Beach, FL · Foot & Ankle Surgery Podiatrist in Florida

Sources for this page

Verify at the official NPI Registry.