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

Bayshore Podiatry Center Inc

Organization Podiatrist · NPI 1093798704

Bayshore Podiatry Center Inc 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
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

508 S Habana Ave 230
Tampa, FL 33609-4181
Phone: (813) 877-6636
Fax: (813) 877-6636
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Podiatrist Taxonomy 213E00000X · Licence P02913 (FL)
Sports Medicine Podiatrist Taxonomy 213ES0000X
Foot Surgery Podiatrist Taxonomy 213ES0131X (FL)

Record details

NPI number1093798704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Repko — President · (813) 877-6636
Other names Bayshore Podiatry Center; Bayshore Podiatry Center
NPI enumeratedNovember 28, 2005
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address508 S Habana Ave, Suite 230, Tampa, FL 33609-4181

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