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John Randall Northrup, DPM
Foot & Ankle Surgery Podiatrist in St Augustine, Florida
NPI 1891178406

John Randall Northrup is a Foot & Ankle Surgery Podiatrist based in St Augustine, FL and is specialized in Foot & Ankle Surgery. John Randall Northrup practices in St Augustine, FL and has the professional credentials of DPM. The NPI Number for John Randall Northrup is 1891178406 and holds a License No. PO3952 (Florida).

The current practice location address for John Randall Northrup is 1690 Us Highway 1 S Ste C, St Augustine, FL and can be reached out via phone at 904-436-8001 and via fax at 904-377-6776.

Location: 1690 Us Highway 1 S Ste C, St Augustine, FL, 32084-6024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891178406
Provider Name
John Randall Northrup
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1690 Us Highway 1 S Ste C, St Augustine, FL, 32084-6024
Phone Number
904-436-8001
Fax Number
904-377-6776
Provider Enumeration Date
06/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101521600 05 FL
institution
Provider Business Practice Location Address Details
Address
1690 Us Highway 1 S Ste C
City
St Augustine
State
Florida
Zip
32084-6024
Phone Number
904-436-8001
Fax Number
904-377-6776
person
Provider Business Mailing Address Details
Address
1690 Us Highway 1 S Ste C
City
St Augustine
State
Florida
Zip
32084-6024
Phone Number
904-436-8001
Fax Number
904-377-6776
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO3952 (Florida)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO3952 (Florida)
Definition
Definition to come...
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