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

Jrj Podiatry Inc

Organization Podiatrist · NPI 1083610638

Jrj Podiatry Inc is a Podiatrist in Lauderdale Lakes, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 N State Road 7 Ste 412
Lauderdale Lakes, FL 33319-4882
Phone: (954) 731-0028
Fax: (954) 731-0288
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO2654 (FL)

Record details

NPI number1083610638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Johnson — Owner/President · (954) 731-0028
NPI enumeratedJune 27, 2005
Last updated in NPPESDecember 29, 2008
Mailing address4000 N State Road 7, Ste 412, Lauderdale Lakes, FL 33319-4882