institution
Coastal Foot & Ankle Wellness Center Llc
Foot & Ankle Surgery Podiatrist in St Augustine, Florida
NPI 1972834760

Coastal Foot & Ankle Wellness Center Llc is a Foot & Ankle Surgery Podiatrist based in St Augustine, FL and is specialized in Foot & Ankle Surgery. Coastal Foot & Ankle Wellness Center Llc practices in St Augustine, FL. The NPI Number for Coastal Foot & Ankle Wellness Center Llc is 1972834760 and holds a License No. P02829 (Florida).

The current practice location address for Coastal Foot & Ankle Wellness Center Llc 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
institution
Provider Profile Details
NPI Number
1972834760
Provider Name
Coastal Foot & Ankle Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
1740 Tree Blvd Ste 112, St Augustine, FL, 32084-5720
Phone Number
904-826-1900
Fax Number
904-826-1920
Provider Enumeration Date
01/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000NU 01 FL BCBS OF FLORIDA
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 & Ankle Surgery
Taxonomy
License No.
P02829 (Florida)
Definition
Definition to come...
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