St. Augustine Foot & Ankle, Inc

LBN: St. Augustine Foot & Ankle, Inc
St. Augustine Foot & Ankle, Inc is an health care organization with primary practice located at 1 Saint Johns Medical Park Dr , St Augustine FL 32086-5300. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. St. Augustine Foot & Ankle, Inc can be contacted via phone (904) 824-0869, or through Lebeau, Thomas A via phone (904) 824-0869.

Contact Information

Primary practice address
1 Saint Johns Medical Park Dr St Augustine FL 32086-5300
Phone: (904) 824-0869
Fax: (904) 826-0966
Website:
Map and Directions
Authorized official contact:
Name: Lebeau, Thomas A Doctor of Podiatric Medicine (DPM)
Phone: (904) 824-0869

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1649409756
LBN Legal business name St. Augustine Foot & Ankle, Inc
DBA Doing business as
Authorized official Lebeau, Thomas A Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2009
Last updated Sep 30th, 2023 - about 2 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 1649409756 NPPES
Florida MEDICAID 001262300
Florida Other 6500E

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