Individual
TODD C TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1000 EXECUTIVE DR STE 9, OVIEDO, FL 32765-8140
(407) 588-1598
(321) 296-7207
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(813) 400-1140
(813) 701-9132
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2974
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO2974
FL
213ES0000X
Sports Medicine Podiatrist
PO2974
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 2974
FL
213ES0131X
Foot Surgery Podiatrist
PO2974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10722241
CAQH ID
FL
05
—
340256800
—
FL
01
—
65746
BCBS
FL
01
—
P00123885
R/R MEDICARE
FL
Enumeration date
02/15/2006
Last updated
03/10/2025
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