COASTAL FOOT & ANKLE WELLNESS CENTER LLC is a foot and ankle surgery podiatrist in St Augustine, FL. COASTAL FOOT & ANKLE WELLNESS CENTER LLC NPI is 1972834760. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1740 TREE BLVD STE 112
ST AUGUSTINE, FL
ZIP 32084-720
Phone: (904) 826-1900
Fax: (904) 826-1920
The provider's authorized official is Richard W Johnson .
The authorized official title is Owner and has the following contact phone number (904) 826-1900.
The enumeration date for this NPI number is 1/19/2010 and was last updated on 12/27/2020.