Northeast Florida Foot And Ankle

LBN: Flagler Family Medicine P A
Northeast Florida Foot And Ankle is an health care organization with primary practice located at 52 Tuscan Way Ste 205 , St Augustine FL 32092-1850. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Flagler Family Medicine P A can be contacted via phone (904) 826-3469, or through Whitlock, Warren via phone (904) 826-3469.

Contact Information

Primary practice address
52 Tuscan Way Ste 205 St Augustine FL 32092-1850
Phone: (904) 826-3469
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whitlock, Warren Doctor of Medicine (MD)
Phone: (904) 826-3469

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1538646757
LBN Legal business name Flagler Family Medicine P A
DBA Doing business as Northeast Florida Foot And Ankle
Authorized official Whitlock, Warren Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2018
Last updated Jul 20th, 2018 - about 6 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 1538646757 NPPES
Florida MEDICAID 252488100

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