NPI 1386814259 · live from the CMS NPI Registry
Ankle & Foot Center Of Tampa Bay
Podiatrist, Foot & Ankle Surgery in Pinellas Park, FL. National Provider Identifier 1386814259, active.
NPI record
| NPI | 1386814259 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 3491 Gandy Blvd N Ste 107, Pinellas Park, FL 33781 |
| Practice phone | 727-384-5540 |
| Mailing address | 2835 W De Leon St, Suite #101, Tampa, FL 33609 |
| Enumerated | March 7, 2008 |
| Last updated | November 5, 2019 |
| Authorized official | Dolores Young, Credentialer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | — |
| 213ES0131X | — | |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.