ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC NPI 1801568431

NPI Information

NPI: 1801568431
Provider Name: ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
113 NATURE WALK PWKY
STE. 105
SAINT AUGUSTINE, FL
ZIP 32092
Phone: (315) 382-5910
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ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC is a foot and ankle surgery podiatrist in Saint Augustine, FL. ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC NPI is 1801568431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

113 NATURE WALK PWKY
STE. 105
SAINT AUGUSTINE, FL
ZIP 32092
Phone: (315) 382-5910

The provider's authorized official is Daniel A Black .
The authorized official title is Owner Of Tin/practice and has the following contact phone number (315) 382-5910.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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