Roman Ivankiv
Roman Ivankiv is a Podiatry in St Augustine, Florida. Graduated from Barry University School of Podiatric Medicine in 2015, 11 years ago. Practices with Coastal Foot and Ankle Wellness Center LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Florida.
- Years since qualifying
- 11
- Trained at
- Barry University School of Podiatric Medicine
- Licensed in
- AL, FL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1740 Tree Blvd Ste 112St Augustine, FL 32084-5720
Phone: (904) 826-1900
Fax: (904) 826-1920
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 204 Luds Way, Dothan, AL 36303-6350 — (334) 678-7036
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence PO4215 (FL) |
|---|---|
| Foot Surgery Podiatrist | Taxonomy 213ES0131X · Licence 338 (AL) |
Record details
| NPI number | 1528517331 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2016 |
| Last updated in NPPES | March 28, 2021 |
| Certification date | March 28, 2021 |
| Mailing address | 1740 Tree Blvd Ste 112, St Augustine, FL 32084-5720 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Coastal Foot And Ankle Wellness Center Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in St Augustine
-
Dr. Nicole C Gortaire, DPM
1690 US Highway 1 S Ste C, St Augustine, FL 32084-6024 · (904) 436-8001