# DAVID J LOISELLE DPM PA

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

## Provider details

- **NPI number:** 1528371010
- **Authorized official:** DR. DAVID JOHN LOISELLE DPM (OWNER)
- **Authorized official phone:** (727) 596-9703

## Contact information

- **Practice address:** 14219 WALSINGHAM RD, SUITE K, LARGO, FL 33774-3249
- **Practice address phone:** (727) 596-9703
- **Practice address fax:** (727) 596-9703
- **Mailing address:** 14219 WALSINGHAM RD, SUITE K, LARGO, FL 33774-3249
- **Mailing address phone:** (727) 596-9703
- **Mailing address fax:** (727) 596-9703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | PO 1880 | FL | — |
| 213ER0200X | Radiology Podiatrist | PO 1880 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO 1880 | FL | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/28/2010