Coastal Foot & Ankle Wellness Center Llc

LBN: Coastal Foot & Ankle Wellness Center Llc
Coastal Foot & Ankle Wellness Center Llc is an health care organization with primary practice located at 1740 Tree Blvd Ste 112 , St Augustine FL 32084-5720. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Coastal Foot & Ankle Wellness Center Llc can be contacted via phone (904) 826-1900, or through Johnson, Richard W via phone (904) 826-1900.

Contact Information

Primary practice address
1740 Tree Blvd Ste 112 St Augustine FL 32084-5720
Fax: (904) 826-1920
Website:
Authorized official contact:
Name: Johnson, Richard W Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P02829 Florida

Profile Details

NPI number 1972834760
LBN Legal business name Coastal Foot & Ankle Wellness Center Llc
DBA Doing business as
Authorized official Johnson, Richard W Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2010
Last updated Dec 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972834760 NPPES
Florida Other 000NU BCBS OF FLORIDA

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