Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jla Senior Footcare Fla LLC

Organization Foot Surgery Podiatrist · NPI 1477869204

Jla Senior Footcare Fla LLC is a Foot Surgery Podiatrist in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 N Peninsula Dr Ste A
Daytona Beach, FL 32118-4082
Phone: (386) 252-4678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence PO 3438 (FL)

Record details

NPI number1477869204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Innocenzi — Owner · (330) 702-0978
NPI enumeratedAugust 31, 2010
Last updated in NPPESAugust 31, 2010
Mailing address4870 S Aspen Ct, Canfield, OH 44406-8469