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Individual

DR. JOHN SAMUEL BIDELSPACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
487 BAYOU VILLAGE DR, TARPON SPRINGS, FL 34689-3607
(866) 362-3668
(866) 596-7195
Mailing address
PO BOX 2497, TARPON SPRINGS, FL 34688-2497
(866) 362-3668
(866) 596-7195

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
657
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P0002345
FL

Other

Enumeration date
10/06/2008
Last updated
11/29/2011
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