ST. AUGUSTINE FOOT & ANKLE INC. NPI 1215253893

NPI Information

  • NPI: 1215253893
  • Provider Name: ST. AUGUSTINE FOOT & ANKLE, INC.
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Address: 105 SOUTHPARK BLVD
    STE A103
    ST AUGUSTINE, FL
    ZIP 32086
  • Phone: (904) 824-0869

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NPI Details

ST. AUGUSTINE FOOT & ANKLE, INC. is a non pharmacy dispensing site in St Augustine, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ST. AUGUSTINE FOOT & ANKLE, INC. NPI is 1215253893. The provider is registered as an organization entity type.

The provider's business location address is:

105 SOUTHPARK BLVD
STE A103
ST AUGUSTINE, FL
ZIP 32086-191
Phone: (904) 824-0869

The provider's authorized official is Thomas Lebeau .
The authorized official title is Owner and has the following contact phone number (904) 824-0869.

The enumeration date for this NPI number is 4/8/2010 and was last updated on 10/27/2011.

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
1332900000XNon-Pharmacy Dispensing SiteYes

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: 11/21/2025

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