# TAMPA BAY PODIATRY ASSOCIATESPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** tampa office for Tampa bay Podiatry Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689787160
- **Authorized official:** DR. IRA DAVID SHANDLES DPM (PRES)
- **Authorized official phone:** (813) 960-0115

## Contact information

- **Practice address:** 14310 N DALE MABRY HWY STE 180, TAMPA, FL 33618-2059
- **Practice address phone:** (813) 960-0115
- **Practice address fax:** (813) 254-9192
- **Mailing address:** PO BOX 271490, TAMPA, FL 33688-1490
- **Mailing address phone:** (813) 960-0115
- **Mailing address fax:** (813) 254-9192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 12/27/2022