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Organization
BAYSHORE PODIATRY CENTER INC
Active
Organization
BAYSHORE PODIATRY CENTER INC
Active
Other names
Bayshore Podiatry Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD REPKO DPM (PRESIDENT)
(813) 877-6636
Entity
Organization
Contact information
Practice address
508 S HABANA AVE, 230, TAMPA, FL 33609-4181
(813) 877-6636
(813) 877-6636
Mailing address
508 S HABANA AVE, SUITE 230, TAMPA, FL 33609-4181
(813) 877-6636
(813) 877-6610
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P02913
FL
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
FL
Other
Enumeration date
11/28/2005
Last updated
10/23/2024
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