Organization · Type 2 NPI

First Coast Podiatric Surgery and Wound Care LLC

Foot & Ankle Surgery Podiatrist · Orange Park, FL

NPI number 1457665663 Active

Practice location

1409 Kingsley Ave, Suite 9-G
Orange Park, FL 32073-4537

Call (904) 637-0037 Map

Mailing address

PO Box 1653
Orange Park, FL 32067-1653

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO 3294 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1457665663

First Coast Podiatric Surgery and Wound Care LLC's National Provider Identifier is 1457665663, issued on Jul 29, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Orange Park, FL. The record was last updated on Mar 1, 2011.