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Organization
TAMPA BAY PODIATRY ASSOCIATESPA
Active
Organization
TAMPA BAY PODIATRY ASSOCIATESPA
Active
Other names
tampa office for Tampa bay Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA DAVID SHANDLES DPM (PRES)
(813) 960-0115
Entity
Organization
Contact information
Practice address
14310 N DALE MABRY HWY STE 180, TAMPA, FL 33618-2059
(813) 960-0115
(813) 254-9192
Mailing address
PO BOX 271490, TAMPA, FL 33688-1490
(813) 960-0115
(813) 254-9192
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
08/17/2006
Last updated
12/27/2022
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