Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tidewater Foot & Ankle Associates, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1629573217

Tidewater Foot & Ankle Associates, Inc provides Foot & Ankle Surgery Podiatrist services in Palm Harbor, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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

4168 Woodlands Pkwy Ste B
Palm Harbor, FL 34685-3496
Phone: (813) 925-9431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3663 (FL)

Record details

NPI number1629573217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Johnson — Owner/ Physician · (813) 925-9431
NPI enumeratedMarch 27, 2018
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3496

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