ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC
NPI 1801568431
Podiatrist - Foot & Ankle Surgery in Saint Augustine, FL

Active since October 01, 2021
113 NATURE WALK PWKY, STE. 105, SAINT AUGUSTINE, FL 32092(315) 382-5910 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Johns Podiatry & Wound Care Specialists Llc NPPES

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

ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC (NPI 1801568431) is a healthcare organization registered as a foot & ankle surgery in Saint Augustine, Florida and active in the NPI registry since October 2021. The organization lists Daniel A Black, Owner Of Tin/practice, as its authorized official.

NPPES Registry Identity

NPI1801568431
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC
Location Address113 NATURE WALK PWKY, STE. 105Saint Augustine, FL 32092
Mailing Address230 Morning Mist LnSaint Johns, FL 32259-8511 · (315) 382-5910
Organization SubpartNo
Authorized OfficialDaniel A BlackOwner Of Tin/practice · (315) 382-5910
Enumeration DateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1801568431 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
113 NATURE WALK PWKY, Saint Augustine, FL 32092

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 St. Johns Podiatry & Wound Care Specialists LLC's NPI number?

The NPI number for St. Johns Podiatry & Wound Care Specialists LLC is 1801568431. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is St. Johns Podiatry & Wound Care Specialists LLC located?

St. Johns Podiatry & Wound Care Specialists LLC is located at 113 Nature Walk Pwky Ste. 105, Saint Augustine, FL 32092. The listed phone number is (315) 382-5910.

What is St. Johns Podiatry & Wound Care Specialists LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for St. Johns Podiatry & Wound Care Specialists LLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.