Organization

St. Augustine Foot & Ankle, Inc.

Non-Pharmacy Dispensing Site in St Augustine, FL(View on Map)

Legal Business Name

St. Augustine Foot & Ankle, Inc.

NPI Number

1215253893

NPI Type

Organization

Enumeration Date

04/08/2010

Specialties

(Taxonomies)

Code

332900000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2980 N BEVERLY GLEN CIR
105 SOUTHPARK BLVD

City

Los Angeles
St Augustine

State

CA
FL

Postal Code

90077-1726
32086-5191

Country

US
US

Telephone Number

(310) 474-9809
(904) 824-0869

Authorized Official

Name

Thomas Lebeau

Title or Position

OWNER

Telephone Number

(904) 824-0869

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/27/2011

Provider Address

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