St Johns Foot And Ankle Specialists, Llc

LBN: Superior Podiatry, Llc
St Johns Foot And Ankle Specialists, Llc is an health care organization with primary practice located at 1690 Us Highway 1 S Ste C , Saint Augustine FL 32084-6024. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Superior Podiatry, Llc can be contacted via phone (904) 436-8001, or through Northrup, John Randall via phone (904) 436-8001.

Contact Information

Primary practice address
1690 Us Highway 1 S Ste C Saint Augustine FL 32084-6024
Phone: (904) 436-8001
Fax: (904) 377-6776
Website:
Map and Directions
Authorized official contact:
Name: Northrup, John Randall Doctor of Podiatric Medicine (DPM)
Phone: (904) 436-8001

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1457839839
LBN Legal business name Superior Podiatry, Llc
DBA Doing business as St Johns Foot And Ankle Specialists, Llc
Authorized official Northrup, John Randall Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2018
Last updated Nov 5th, 2020 - about 5 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 1457839839 NPPES
Florida MEDICAID 101522100

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