# SUPERIOR PODIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** st johns foot and ankle specialists, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457839839
- **Authorized official:** DR. JOHN RANDALL NORTHRUP DPM (PRESIDENT/OWNER)
- **Authorized official phone:** (904) 436-8001

## Contact information

- **Practice address:** 1690 US HIGHWAY 1 S STE C, SAINT AUGUSTINE, FL 32084-6024
- **Practice address phone:** (904) 436-8001
- **Practice address fax:** (904) 377-6776
- **Mailing address:** 1690 US HIGHWAY 1 S STE C, SAINT AUGUSTINE, FL 32084-6024
- **Mailing address phone:** (904) 436-8001
- **Mailing address fax:** (904) 377-6776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2018
- **Last updated:** 11/05/2020