ROMAN IVANKIV

Podiatrist - Foot Surgery

Active Individual
NPI: 1528517331

Practice Address

1740 TREE BLVD STE 112
St Augustine, FL 32084

Phone: (904) 826-1900

Specialties

Specialty Code Primary License
Podiatrist - Foot Surgery 213ES0131X Yes PO4215 (FL)

Frequently Asked Questions

NPI 1528517331 is the National Provider Identifier for ROMAN IVANKIV, a Podiatrist - Foot Surgery provider located in St Augustine, FL. This NPI was enumerated on September 22, 2016.
ROMAN IVANKIV practices at 1740 TREE BLVD STE 112, St Augustine, FL 32084.

Quick Facts

NPI
1528517331
Type
Individual
Enumerated
Sep 22, 2016
Last Updated
Mar 28, 2021

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