FIRST COAST MEDICAL NETWORK LLC NPI 1487146890

NPI Information

  • NPI: 1487146890
  • Provider Name: FIRST COAST MEDICAL NETWORK LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: FOOT PAIN DOCTORS OF JACKSONVILLE
  • CLIA Number: 10D0932834
  • Address: 1532 KINGSLEY AVE STE 106
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 329-1391

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NPI Details

FIRST COAST MEDICAL NETWORK LLC is a podiatrist in Orange Park, FL. The provider is 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. FIRST COAST MEDICAL NETWORK LLC NPI is 1487146890. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foot Pain Doctors Of Jacksonville.

The provider's business location address is:

1532 KINGSLEY AVE STE 106
ORANGE PARK, FL
ZIP 32073-536
Phone: (904) 329-1391
Fax: (904) 580-5835

The provider's authorized official is Brenda Carol Coley-grobes .
The authorized official title is President and has the following contact phone number (302) 373-3435.

The CLIA number assigned to this NPI record is 10D0932834 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2018 and was last updated on 9/4/2024.

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
1213E00000XPodiatristL18000131637FLORIDAYes
2213E00000XPodiatristNo

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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