Organization · Type 2 NPI
Coastal Foot & Ankle Wellness Center LLC
Foot & Ankle Surgery Podiatrist · St. Augustine, FL
NPI number
1972834760
Active
Practice location
1740 Tree Blvd Ste 112
St. Augustine, FL 32084-5720
Fax (904) 826-1920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | P02829 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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- St. Johns Podiatry & Wound Care Specialists LLCFoot & Ankle Surgery Podiatrist St. Augustine, FL NPI 1801568431
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About NPI 1972834760
Coastal Foot & Ankle Wellness Center LLC's National Provider Identifier is 1972834760, issued on Jan 19, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Augustine, FL. The record was last updated on Dec 27, 2020.