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

Southeastern Podiatry Clinic PA

Organization Foot & Ankle Surgery Podiatrist · NPI 1245427525

Southeastern Podiatry Clinic PA is a Foot & Ankle Surgery Podiatrist in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1580 Waldo Palmer Ln Ste 1A
Tallahassee, FL 32308-6049
Phone: (850) 942-0096
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO2918 (FL)

Record details

NPI number1245427525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Reynolds — President · (850) 942-0096
NPI enumeratedOctober 1, 2007
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address1580 Waldo Palmer Ln Ste 1a, Tallahassee, FL 32308-6049

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