Health Park Foot & Ankle Associates Inc

LBN: Health Park Foot & Ankle Associates Inc
Health Park Foot & Ankle Associates Inc is an health care organization with primary practice located at 1975 Old Moultrie Rd , St Augustine FL 32086-5164. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Health Park Foot & Ankle Associates Inc can be contacted via phone (904) 825-0046, or through Mallard, Ed W via phone (904) 825-0046.

Contact Information

Primary practice address
1975 Old Moultrie Rd St Augustine FL 32086-5164
Phone: (904) 825-0046
Fax: (904) 826-1586
Website:
Map and Directions
Authorized official contact:
Name: Mallard, Ed W
Phone: (904) 825-0046

Health care specialties

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

Profile Details

NPI number 1568491421
LBN Legal business name Health Park Foot & Ankle Associates Inc
DBA Doing business as
Authorized official Mallard, Ed W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Jan 26th, 2010 - about 14 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 1568491421 NPPES
Florida MEDICAID 340409900

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