| First Coast Podiatric Surgery And Wound Care Llc | |
|
1409 Kingsley Ave, Suite 9-g, Orange Park, FL 32073-4537 | |
| (904) 637-0037 | |
| Not Available |
| Full Name | First Coast Podiatric Surgery And Wound Care Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1409 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457665663 | NPI | - | NPPES |
| 0018B | Other | FL | BCBS |
| 002932200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3294 (Florida) | Primary |
| Provider Name | Jorg A Bober |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720108012 PECOS PAC ID: 0840388732 Enrollment ID: I20071109000388 |
| Provider Name | Arles Jhan L Rustia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760945109 PECOS PAC ID: 7214279041 Enrollment ID: I20220706003071 |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Podiatric Surgery And Wound Care Llc Po Box 1653, Orange Park, FL 32067-1653 Ph: (904) 637-0037 | First Coast Podiatric Surgery And Wound Care Llc 1409 Kingsley Ave, Suite 9-g, Orange Park, FL 32073-4537 Ph: (904) 637-0037 |
Podiatry Associates Of Florida Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 2140 Kingsley Ave, Ste 12, Orange Park, FL 32073 Phone: 904-272-7070 Fax: 904-272-3668 | |
Dr. Tyler Kenneth Sorensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 981 Kingsley Ave, Orange Park, FL 32073 Phone: 904-269-9595 Fax: 904-264-5211 | |
Dr. Alexis Tam Mugno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 206, Orange Park, FL 32073 Phone: 904-634-0640 Fax: 904-634-0203 | |
Barry L Efron, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Ste 12, Orange Park, FL 32073 Phone: 904-272-7070 Fax: 904-272-3668 | |
Dr. Brittany A Lovett, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1409 Kingsley Ave Ste 6b, Orange Park, FL 32073 Phone: 904-329-1391 | |
Ankle Foot And Leg Centers Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3075 Chestnut Ridge Way, Orange Park, FL 32065 Phone: 321-591-8039 Fax: 904-467-3577 |