St. Augustine Foot & Ankle, INC

NPI #1649409756 in St Augustine, Florida

Provider Information

NPI Number: 1649409756
Entity Type: Organization
Organization Name: St. Augustine Foot & Ankle, INC
Primary Specialty: Specialist
Enumeration Date: Jul 9, 2009
Last Updated: Sep 30, 2023

Practice Location

Address: 1 SAINT JOHNS MEDICAL PARK DR
City: St Augustine
State: Florida
ZIP Code: 32086-5300
Phone: (904) 824-0869

Authorized Official

Name: DR. THOMAS A LEBEAU, D.P.M.
Title: OWNER
Phone: (904) 824-0869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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