Advance Tampa Bay Foot Medical, Llc

LBN: Advance Tampa Bay Foot Medical, Llc
Advance Tampa Bay Foot Medical, Llc is an health care organization with primary practice located at 3325 W Gandy Blvd , Tampa FL 33611-2931. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Advance Tampa Bay Foot Medical, Llc can be contacted via phone (813) 831-3813, or through Le, Benjamin Q via phone (813) 831-3813.

Contact Information

Primary practice address
3325 W Gandy Blvd Tampa FL 33611-2931
Phone: (813) 831-3813
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Le, Benjamin Q Doctor of Podiatric Medicine (DPM)
Phone: (813) 831-3813

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO2234 Florida

Profile Details

NPI number 1821340225
LBN Legal business name Advance Tampa Bay Foot Medical, Llc
DBA Doing business as
Authorized official Le, Benjamin Q Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2012
Last updated May 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821340225 NPPES
Florida MEDICAID 007286100

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