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

St Augustine Foot & Ankle, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1215253893

St Augustine Foot & Ankle, Inc is a Non-Pharmacy Dispensing Site in St Augustine, Florida. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 Southpark Blvd Ste A103
St Augustine, FL 32086-5191
Phone: (904) 824-0869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1215253893
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Augustine Foot & Ankle, Inc
Authorized official Thomas Lebeau — Owner · (904) 824-0869
NPI enumeratedApril 8, 2010
Last updated in NPPESOctober 27, 2011
Mailing address2980 N Beverly Glen Cir, Ste 301, Los Angeles, CA 90077-1726

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