Coastal Foot & Ankle Wellness Center LLC
Coastal Foot & Ankle Wellness Center LLC provides Foot & Ankle Surgery Podiatrist services in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1740 Tree Blvd Ste 112St Augustine, FL 32084-5720
Phone: (904) 826-1900
Fax: (904) 826-1920
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence P02829 (FL) |
|---|
Record details
| NPI number | 1972834760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Johnson — Owner · (904) 826-1900 |
| NPI enumerated | January 19, 2010 |
| Last updated in NPPES | December 27, 2020 |
| Certification date | December 27, 2020 |
| Mailing address | 1740 Tree Blvd Ste 112, St Augustine, FL 32084-5720 |
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