# HEALTH PARK FOOT & ANKLE ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568491421
- **Authorized official:** MR. ED W MALLARD (OWNER)
- **Authorized official phone:** (904) 825-0046

## Contact information

- **Practice address:** 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
- **Practice address phone:** (904) 825-0046
- **Practice address fax:** (904) 826-1586
- **Mailing address:** 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
- **Mailing address phone:** (904) 825-0046
- **Mailing address fax:** (904) 826-1586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | FL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 01/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 340409900 | — | FL |