Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROMAN IVANKIV
Active Sole ProprietorROMAN IVANKIV is a Foot Surgery Podiatrist healthcare provider located in ST AUGUSTINE, Florida. NPI 1528517331 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1528517331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2016 (9.9359614309954 yrs)
- Last Updated
- Mar 28, 2021
- Licenses
-
338 (AL)PO4215 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1740 TREE BLVD STE 112ST AUGUSTINE, FL, 320845720Browse FL providers · Browse ZIP 32084
- Phone
- 9048261900
- Fax
- 9048261920
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
Other Foot Surgery Podiatrist Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NICOLE C GORTAIRE | DPM | 1174148613 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.