Gentle Care Podiatry, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO3446 Issued in FL

Legal business name

GENTLE CARE PODIATRY, LLC

Practice address

8450 Gate Pkwy W
Unit 1504
Jacksonville, FL 32216-1049

Phone

(904) 738-7381

Fax

(904) 738-7259

NPI assigned

Dec 15, 2015

Last updated

Dec 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dominique Marie Rameau, DPMNPI 1295042018

Title

C.E.O.

Phone

(904) 738-7381

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dominique Marie Rameau, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Miramar, FL
  • NPI 1295042018
  Medicare reassignment NPD Authorized official
• Mattie Bell Thomas, NON MEDICAL

  • Physical Disabilities Residential Treatment Facility
  • Jacksonville, FL
  • NPI 1790009157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1326403585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 GATE PKWY W",
            "address_2": "UNIT 1504",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161049",
            "telephone_number": "904-738-7381",
            "fax_number": "904-738-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 GATE PKWY W",
            "address_2": "UNIT 1504",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161049",
            "telephone_number": "904-738-7381",
            "fax_number": "904-738-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "RAMEAU",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "904-738-7381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002849500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.