Search › Florida › Foot Surgery Podiatrist
Roman Ivankiv
NPI 1528517331 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1740 Tree Blvd Ste 112
St Augustine, FL 32084 - Phone
- (904) 826-1900
- Fax
- (904) 826-1920
- Organisation at this address
- Drs Paul And Shirley Leadem Pa Inc
Coastal Foot & Ankle Wellness Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 204 Luds Way, Dothan, AL
Registry record
- Primary taxonomy
- Foot Surgery Podiatrist
213ES0131X
- Also registered as
- Foot Surgery Podiatrist
- Licence states on file
- AL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida