# PODIATRIC MEDICAL SERVICES FOR AMBULATOY SURGERY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033639448
- **Authorized official:** MS. NAVETTA EUDORA WEBSTER BPH (SPECIAL PROJECTS DIRECTOR)
- **Authorized official phone:** (340) 626-3714

## Contact information

- **Practice address:** \#19 SIXTH STREET, SUGAR ESTATE, ST. THOMAS, VI 00802
- **Practice address phone:** (340) 626-3714
- **Practice address fax:** (877) 349-0205
- **Mailing address:** PO BOX 10012, ST THOMAS, VI 00801-3012
- **Mailing address phone:** (340) 626-3714
- **Mailing address fax:** (877) 349-0205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 1058 | VI | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 06/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C000000083123 | DRIVERS LICENSE | VI |