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
Phone: (904) 826-1900
Fax: (904) 826-1920
Website:
Authorized official contact:
Name: Johnson, Richard W Doctor of Podiatric Medicine (DPM)
Phone: (904) 826-1900
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972834760 | NPPES |
| Florida | Other | 000NU | BCBS OF FLORIDA |
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