Bayshore Podiatry Center

NPI #1982688354 in Tampa, Florida

Provider Information

NPI Number: 1982688354
Entity Type: Organization
Organization Name: Bayshore Podiatry Center
Primary Specialty: Podiatrist - Sports Medicine
Enumeration Date: Nov 30, 2005
Last Updated: Oct 23, 2024

Practice Location

Address: 508 S HABANA AVE STE 230
City: Tampa
State: Florida
ZIP Code: 33609-4161
Phone: (813) 877-6636

Authorized Official

Name: DR. JAMES EDWARD REPKO, DPM
Title: PRESIDENT
Phone: (813) 877-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X
Clinic/Center - Podiatric — Podiatric	261QP1100X
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X	Primary

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