Bayshore Podiatry Center in Tampa - Podiatric
Bayshore Podiatry Center - NPI 1982688354
Bayshore Podiatry Center is a Podiatric in Tampa, Florida. Bayshore Podiatry Center practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Bayshore Podiatry Center is 1982688354. The last update date is 2020-07-27.
Bayshore Podiatry Center's current location address is 508 S Habana Ave Ste 230, Tampa, Florida. You can contact this provider via phone number 8138776636 and fax number 8138776610. The mailing address for Bayshore Podiatry Center is 508 S Habana Ave Ste 230, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bayshore Podiatry Center |
|---|---|
| Address | 508 S Habana Ave Ste 230, Tampa, Florida |
| Phone Number | 8138776636 |
| Fax Number | 8138776610 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Repko Edward James |
| Credentials | DPM |
| Telephone Number | 8138776636 |
NPI Number Detail
| NPI Number | 1982688354 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2020-07-27 |
Provider Mailing Address Detail
| Address | 508 S Habana Ave Ste 230 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336094161 |
| Phone Number | 8138776636 |
| Fax Number | 8138776610 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
|
Definition: Provides conservative and surgical foot and ankle care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41093400 | FL | -- |
Post Comment/ Review Below
What is the Bayshore Podiatry Center's 1982688354?
The Bayshore Podiatry Center's NPI (National Provider Identifier) Number is 1982688354. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bayshore Podiatry Center is located?
The Bayshore Podiatry Center is situated at the following address: 508 S Habana Ave Ste 230, Tampa, FL, 336094161.
What is Bayshore Podiatry Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bayshore Podiatry Center's area of specialization is Podiatric, and the corresponding taxonomy code that categorizes this field of practice is 261Qp1100X.
On what date was the 1982688354 assigned to Bayshore Podiatry Center?
The Bayshore Podiatry Center was issued its 1982688354 on 2005-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bayshore Podiatry Center most recently updated or revised?
The information pertaining to Bayshore Podiatry Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-27.
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