Turner Orlan Houston Jr., D.P.M.

Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Atlantic Beach, FL

NPI 1295864874 · NPPES record last updated Jun 16, 2013

Key facts

NPI
1295864874
Entity type
Individual (NPI type 1)
Primary specialty
Primary Podiatric Medicine Podiatrist 213EP1101X
License
PO 850 (FL)
Practice address
648 Aquatic Dr
Atlantic Beach, FL 32233-3841
Phone
(904) 246-2164
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PO 850FLMDPrimary Podiatric Medicine Podiatrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO 850 FL Yes

Addresses

Primary practice location

648 Aquatic Dr
Atlantic Beach, FL 32233-3841

Mailing address

648 Aquatic Dr
Atlantic Beach, FL 32233-3841
Phone (904) 246-2164

Other providers in Atlantic Beach, FL

All providers in Atlantic Beach, FL · Primary Podiatric Medicine Podiatrist in Florida

Sources for this page

Verify at the official NPI Registry.