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:
Authorized official contact:
Name: Northrup, John Randall Doctor of Podiatric Medicine (DPM)
Phone: (904) 436-8001
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1457839839 | NPPES |
| Florida | MEDICAID | 101522100 |
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