| Northeast Florida Foot and Ankle | |
|
236 Southpark Cir E St Augustine FL 32086-5137 | |
| (904) 429-4736 | |
| Not Available |
| Full Name | Northeast Florida Foot and Ankle |
|---|---|
| Speciality | Podiatrist |
| Location | 236 Southpark Cir E, St Augustine, Florida |
| Authorized Official Name and Position | Kirsten Satkowiak (BILLING MANAGER) |
| Authorized Official Contact | 9045472808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Florida Foot and Ankle 130 Health Park Blvd St Augustine FL 32086-5776 Ph: (904) 547-2808 | Northeast Florida Foot and Ankle 236 Southpark Cir E St Augustine FL 32086-5137 Ph: (904) 429-4736 |
| NPI Number | 1134537988 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 04/14/2026 |
| Certification Date | 04/14/2026 |
| Medicare PECOS PAC ID | 9335114347 |
|---|---|
| Medicare Enrollment ID | O20141020000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134537988 | NPI | - | NPPES |
| 252488100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (NU) | Primary |
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