Organization
TIDEWATER FOOT & ANKLE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN BROOK JOHNSON (OWNER)
(813) 925-9431
Entity
Organization
Contact information
Practice address
4168 WOODLANDS PKWY STE B, PALM HARBOR, FL 34685-3496
(813) 925-9431
Mailing address
13019 W LINEBAUGH AVE STE 101, TAMPA, FL 33626-4507
(813) 925-9431
(813) 925-9442
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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