Active NPI
Community Podiatry & Wound Care PA
- Foot & Ankle Surgery Podiatrist
- St Augustine, FL
National Provider Identifier
1730354523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2734
- Legal business name
- COMMUNITY PODIATRY & WOUND CARE PA
- Practice address
- 6 Saint Johns Medical Park Dr
St Augustine, FL 32086-4233 - Phone
- (904) 823-3301
- Fax
- (904) 823-3328
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosana Rodriguez, DPM
- Title
- Doctor
- Phone
- (904) 823-3301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2734 | FL | Primary |
Addresses
Primary practice location
6 Saint Johns Medical Park Dr
St Augustine, FL 32086-4233
Mailing address
1960 US Highway 1 South
PMB 510
St Augustine, FL 32086-4233
Phone (904) 823-3301
National Provider Directory
National Provider DirectoryLocations
1960 US Highway 1 S
Saint Augustine, FL 32086
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Port Orange, FL
- NPI 1346221306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326758400000",
"number": "1730354523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 US HIGHWAY 1 SOUTH",
"address_2": "PMB 510",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864233",
"telephone_number": "904-823-3301",
"fax_number": "904-823-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SAINT JOHNS MEDICAL PARK DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864233",
"telephone_number": "904-823-3301",
"fax_number": "904-823-3328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY PODIATRY & WOUND CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2012-01-17",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ROSANA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "904-823-3301",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, PA
- Comfortable Care Dental Health Professionals, PA
- Communication Matters, LLC
- Community Care Pediatrics PA
- Compass Conservative Counseling
- Compassionate Care Florida Inc
- Comprehensive Arthritis Spine and Pain Center
- Comprehensive Arthritis Spine and Pain Center
- Gabrielle M Compton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.