Provider Demographics
NPI:1609212125
Name:CLAESSENS, JORIS F (DPM)
Entity type:Individual
Prefix:
First Name:JORIS
Middle Name:F
Last Name:CLAESSENS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 W LAKE MARY BLVD UNIT 950848
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-7535
Mailing Address - Country:US
Mailing Address - Phone:407-462-1831
Mailing Address - Fax:
Practice Address - Street 1:572 TALL OAKS TER
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-8419
Practice Address - Country:US
Practice Address - Phone:407-462-1831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4029213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery