| St. Johns Podiatry & Wound Care Specialists Llc | |
|
113 Nature Walk Pwky, Ste. 105, Saint Augustine, FL 32092 | |
| (315) 382-5910 | |
| Not Available |
| Full Name | St. Johns Podiatry & Wound Care Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 113 Nature Walk Pwky, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801568431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Daniel A Black |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407298987 PECOS PAC ID: 4587951140 Enrollment ID: I20160926000446 |
| Mailing Address | Practice Location Address |
|---|---|
| St. Johns Podiatry & Wound Care Specialists Llc 230 Morning Mist Ln, Saint Johns, FL 32259-8511 Ph: (315) 382-5910 | St. Johns Podiatry & Wound Care Specialists Llc 113 Nature Walk Pwky, Ste. 105, Saint Augustine, FL 32092 Ph: (315) 382-5910 |
Dr. Daniel Alexander Black, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 113 Nature Walk Pkwy, Unit 105, Saint Augustine, FL 32092 Phone: 315-382-5910 | |
Superior Podiatry, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1690 Us Highway 1 S Ste C, Saint Augustine, FL 32084 Phone: 904-436-8001 Fax: 904-377-6776 | |
Dr. John Demetrios Lagoutaris, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 300 Kingsley Lake Dr, Ste. 402, Saint Augustine, FL 32092 Phone: 904-826-1375 Fax: 904-779-4964 |