Elite Sports Podiatry, Pa

LBN: Elite Sports Podiatry, Pa
Elite Sports Podiatry, Pa is an health care organization with primary practice located at 1700 N Mcmullen Booth Rd Suite C-2, Clearwater FL 33759-2130. 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. Elite Sports Podiatry, Pa can be contacted via phone (727) 330-7646, or through Fullem, Brian William via phone (203) 241-2582.

Contact Information

Primary practice address
1700 N Mcmullen Booth Rd Suite C-2 Clearwater FL 33759-2130
Phone: (727) 330-7646
Fax: (727) 330-4645
Website:
Map and Directions
Authorized official contact:
Name: Fullem, Brian William Doctor of Medicine (MD)
Phone: (203) 241-2582

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO3445 Florida

Profile Details

NPI number 1356743207
LBN Legal business name Elite Sports Podiatry, Pa
DBA Doing business as
Authorized official Fullem, Brian William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2014
Last updated Jan 7th, 2015 - about 9 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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