Elite Sports Podiatry, PA
Elite Sports Podiatry, PA provides Foot Surgery Podiatrist services in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1700 N McMullen Booth Rd Ste C-2Clearwater, FL 33759-2130 Not confirmed with CMS for 11 years — call before visiting
Phone: (727) 330-7646
Fax: (727) 330-4645
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot Surgery Podiatrist (primary) | Taxonomy 213ES0131X · Licence PO3445 (FL) |
|---|
Record details
| NPI number | 1356743207 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Fullem — Medical Doctor/Owner · (203) 241-2582 |
| NPI enumerated | September 23, 2014 |
| Last updated in NPPES | January 7, 2015 |
| Mailing address | 1700 N McMullen Booth Rd Ste C2, Clearwater, FL 33759-2129 |
Other providers in Clearwater
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Dr. Brenn Isidro Garriel, DPM
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Kenneth Shapiro
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Dr. Matthew Dean Westerfield, DPM
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