Organization
FLAGLER FAMILY MEDICINE PA
Active
Other names
NORTHEAST FLORIDA FOOT AND ANKLE
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN SATKOWIAK (BILLING MANAGER)
(904) 547-2808
Entity
Organization
Contact information
Practice address
315 W TOWN PL STE 1, ST AUGUSTINE, FL 32092-3105
(904) 429-4736
(904) 679-3169
Mailing address
130 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5776
(904) 547-2808
(904) 679-3169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252488100
—
FL
Enumeration date
07/24/2014
Last updated
01/28/2020
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