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FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC
NPI 1457665663
Podiatrist - Foot & Ankle Surgery in Orange Park, FL

Active since July 29, 2010
1409 KINGSLEY AVE, SUITE 9-G, ORANGE PARK, FL 32073(904) 637-0037 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About First Coast Podiatric Surgery And Wound Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC (NPI 1457665663) is a healthcare organization registered as a foot & ankle surgery in Orange Park, Florida and active in the NPI registry since July 2010. The organization lists Jorg Alexander Bober, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1457665663
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC
Location Address1409 KINGSLEY AVE, SUITE 9-GOrange Park, FL 32073-4537
Mailing AddressPo Box 1653Orange Park, FL 32067-1653 · (904) 637-0037
Phone(904) 637-0037
Organization SubpartNo
Authorized OfficialJorg Alexander BoberOwner/podiatrist · (904) 422-1566
Enumeration DateJuly 29, 2010
Last NPPES UpdateMarch 1, 2011
✔ NPI 1457665663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO 3294
1409 KINGSLEY AVE, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 4

Medicare PINDN245AFL
Medicaid002932200FL
Medicare NSC6461190001FL
Other0018BFL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER PERRY P.A.-C
Physician Assistant (Medical)
1409 KINGSLEY AVE, SUITE 6A
ORANGE PARK, FL 32073
Clay County (904) 264-7517
ELIZABETH BLAKE CURTIS
Occupational Therapist (Hand)
1409 KINGSLEY AVE, SUITE 6B
ORANGE PARK, FL 32073
Clay County (904) 215-2422
HAEUSSNER DENTAL GROUP
Dentist (General Practice)
1409 KINGSLEY AVE, BLDG. #11
ORANGE PARK, FL 32073
Clay County (904) 264-2483
LYNDSEY MCCOOL L.M.T.
Massage Therapist
1409 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 348-5511
JAMES LAVIN PTA
Physical Therapy Assistant
1409 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (407) 497-3266
DR. BRIAN DAVID HAEUSSNER D.M.D.
Dentist (General Practice)
1409 KINGSLEY AVE, #11
ORANGE PARK, FL 32073
Clay County (904) 264-2483
ANNA-MARIE VENERACION-YUMUL, MD, PA
Psychiatry & Neurology (Psychiatry)
1409 KINGSLEY AVE, STE 9E
ORANGE PARK, FL 32073
Clay County (904) 215-4151
ORANGE PARK SPINE INSTITUTE LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1409 KINGSLEY AVE, SUITE 1D
ORANGE PARK, FL 32073
Clay County (904) 504-7767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Coast Podiatric Surgery And Wound Care LLC's NPI number?

The NPI number for First Coast Podiatric Surgery And Wound Care LLC is 1457665663. It was assigned to this organization in the NPPES registry on July 29, 2010.

Where is First Coast Podiatric Surgery And Wound Care LLC located?

First Coast Podiatric Surgery And Wound Care LLC is located at 1409 Kingsley Ave Suite 9-G, Orange Park, FL 32073. The listed phone number is (904) 637-0037.

What is First Coast Podiatric Surgery And Wound Care LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does First Coast Podiatric Surgery And Wound Care LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list First Coast Podiatric Surgery And Wound Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for First Coast Podiatric Surgery And Wound Care LLC was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.