Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

First Coast Podiatric Surgery and Wound Care LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1457665663

First Coast Podiatric Surgery and Wound Care LLC provides Foot & Ankle Surgery Podiatrist services in Orange Park, 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.

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Practice location Address checks out

1409 Kingsley Ave Ste 9-G
Orange Park, FL 32073-4537 Not confirmed with CMS for 15 years — call before visiting
Phone: (904) 637-0037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO 3294 (FL)

Record details

NPI number1457665663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorg Bober — Owner/Podiatrist · (904) 422-1566
NPI enumeratedJuly 29, 2010
Last updated in NPPESMarch 1, 2011
Mailing addressPo Box 1653, Orange Park, FL 32067-1653

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