FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC NPI 1417264722

NPI Information

NPI: 1417264722
Provider Name: FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3599 UNIVERSITY BLVD S
SUITE 504
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 637-0037
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FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC is a foot and ankle surgery podiatrist in Jacksonville, FL. FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC NPI is 1417264722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3599 UNIVERSITY BLVD S
SUITE 504
JACKSONVILLE, FL
ZIP 32216-411
Phone: (904) 637-0037

The provider's authorized official is Jorg Alexander Bober .
The authorized official title is Owner/podiatrist and has the following contact phone number (904) 422-1566.

The enumeration date for this NPI number is 9/8/2010 and was last updated on 9/8/2010.

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	PO 3294	FLORIDA	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: 4/28/2024

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