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TIDEWATER FOOT & ANKLE ASSOCIATES INC. NPI 1033837992


NPI Information

NPI: 1033837992
Provider Name: TIDEWATER FOOT & ANKLE ASSOCIATES, INC.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4168 WOODLANDS PKWY STE B
PALM HARBOR, FL
ZIP 34685
Phone: (813) 925-9431
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TIDEWATER FOOT & ANKLE ASSOCIATES, INC. is a podiatrist in Palm Harbor, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. TIDEWATER FOOT & ANKLE ASSOCIATES, INC. NPI is 1033837992. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4168 WOODLANDS PKWY STE B
PALM HARBOR, FL
ZIP 34685-496
Phone: (813) 925-9431

The provider's authorized official is Megan Brook Johnson .
The authorized official title is Owner and has the following contact phone number (813) 925-9431.

The enumeration date for this NPI number is 8/17/2022 and was last updated on 8/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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