# BEATON PODIATRY CENTER INC

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

## Provider details

- **NPI number:** 1366626541
- **Authorized official:** LISA MERKOW (VICE PRESIDENT)
- **Authorized official phone:** (727) 800-9958

## Contact information

- **Practice address:** 6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
- **Practice address phone:** (727) 896-4615
- **Practice address fax:** (727) 256-3855
- **Mailing address:** 6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
- **Mailing address phone:** (727) 896-4615
- **Mailing address fax:** (727) 896-4616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO312 | FL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 11/07/2025