First Coast Podiatric Surgery And Wound Care Llc
LBN: First Coast Podiatric Surgery And Wound Care Llc
First Coast Podiatric Surgery And Wound Care Llc is an health care organization with primary practice located at 1409 Kingsley Ave Suite 9-G, Orange Park FL 32073-4537. 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.
First Coast Podiatric Surgery And Wound Care Llc can be contacted via phone (904) 637-0037, or through Bober, Jorg Alexander via phone (904) 422-1566.
Contact Information
Primary practice address
1409 Kingsley Ave Suite 9-G
Orange Park FL 32073-4537
Phone: (904) 637-0037
Fax:
Website:
Authorized official contact:
Name: Bober, Jorg Alexander Doctor of Podiatric Medicine (DPM)
Phone: (904) 422-1566
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO 3294 | Florida |
Profile Details
| NPI number | 1457665663 |
|---|---|
| LBN Legal business name | First Coast Podiatric Surgery And Wound Care Llc |
| DBA Doing business as | |
| Authorized official | Bober, Jorg Alexander Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2010 |
| Last updated | Mar 1st, 2011 - about 13 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 | 1457665663 | NPPES |
| Florida | Other | 0018B | BCBS |
| Florida | MEDICAID | 002932200 | BCBS |
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