Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

First Coast Medical Network LLC

Organization Podiatrist · NPI 1487146890

First Coast Medical Network LLC is a Podiatrist in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1532 Kingsley Ave Ste 106
Orange Park, FL 32073-4536
Phone: (904) 329-1391
Fax: (904) 580-5835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence L18000131637 (FL)
Podiatrist Taxonomy 213E00000X

Record details

NPI number1487146890
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFirst Coast Medical Network, LLC
Authorized official Brenda Coley-Grobes — President · (302) 373-3435
Other names Foot Pain Doctors Of Jacksonville
NPI enumeratedMay 31, 2018
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address1687 Majestic View Ln, Fleming Island, FL 32003-3223

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