Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayshore Podiatry Center

Organization Podiatrist · NPI 1982688354

Bayshore Podiatry Center provides Podiatrist services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
4

Practice location Address checks out

508 S Habana Ave Ste 230
Tampa, FL 33609-4161
Phone: (813) 877-6636
Fax: (813) 877-6610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X (FL)
Podiatrist Taxonomy 213E00000X · Licence P00001221 (FL)
Podiatrist Taxonomy 213E00000X (FL)
Podiatric Clinic/Center Taxonomy 261QP1100X

Record details

NPI number1982688354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Repko — President · (813) 877-6636
NPI enumeratedNovember 30, 2005
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address508 S Habana Ave Ste 230, Tampa, FL 33609-4161

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