# FLAGLER FAMILY MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHEAST FLORIDA FOOT AND ANKLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821406679
- **Authorized official:** KIRSTEN SATKOWIAK (BILLING MANAGER)
- **Authorized official phone:** (904) 547-2808

## Contact information

- **Practice address:** 315 W TOWN PL STE 1, ST AUGUSTINE, FL 32092-3105
- **Practice address phone:** (904) 429-4736
- **Practice address fax:** (904) 679-3169
- **Mailing address:** 130 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5776
- **Mailing address phone:** (904) 547-2808
- **Mailing address fax:** (904) 679-3169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2014
- **Last updated:** 01/28/2020