Bayshore Podiatry Center

LBN: Bayshore Podiatry Center
Bayshore Podiatry Center is an health care organization with primary practice located at 508 S Habana Ave Ste 230 , Tampa FL 33609-4161. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Ambulatory Health Care Facilities / Podiatric. Podiatric Medicine & Surgery Service Providers / Sports Medicine is the primary health care specialty. Bayshore Podiatry Center can be contacted via phone (813) 877-6636, or through Repko, James Edward via phone (813) 877-6636.

Contact Information

Primary practice address
508 S Habana Ave Ste 230 Tampa FL 33609-4161
Phone: (813) 877-6636
Fax: (813) 877-6610
Website:
Map and Directions
Authorized official contact:
Name: Repko, James Edward Doctor of Podiatric Medicine (DPM)
Phone: (813) 877-6636

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P00001221 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Florida
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X Florida
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1982688354
LBN Legal business name Bayshore Podiatry Center
DBA Doing business as
Authorized official Repko, James Edward Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 27th, 2020 - about 4 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 1982688354 NPPES
Florida MEDICAID 041093400

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