person
Roman Ivankiv
Foot Surgery Podiatrist in St Augustine, Florida
NPI 1528517331

Roman Ivankiv is a Foot Surgery Podiatrist based in St Augustine, FL and is specialized in Foot Surgery. Roman Ivankiv practices in St Augustine, FL. The NPI Number for Roman Ivankiv is 1528517331 and holds a License No. 338 (Florida).

The current practice location address for Roman Ivankiv is 1740 Tree Blvd Ste 112, St Augustine, FL and can be reached out via phone at 904-826-1900 and via fax at 904-826-1920.

Location: 1740 Tree Blvd Ste 112, St Augustine, FL, 32084-5720
person
Provider Profile Details
NPI Number
1528517331
Provider Name
Roman Ivankiv
Credential
Provider Entity Type
Individual
Gender
Male
Address
1740 Tree Blvd Ste 112, St Augustine, FL, 32084-5720
Phone Number
904-826-1900
Fax Number
904-826-1920
Provider Enumeration Date
09/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1740 Tree Blvd Ste 112
City
State
Zip
32084-5720
Phone Number
904-826-1900
Fax Number
904-826-1920
person
Provider Business Mailing Address Details
Address
1740 Tree Blvd Ste 112
City
State
Zip
32084-5720
Phone Number
904-826-1900
Fax Number
904-826-1920
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
338 (Alabama)
Definition
Definition to come...
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