MEDICARE: JOHN SAVIDAKIS JR.,P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO0002430	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104802206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN SAVIDAKIS JR.,P.A.

Provider Business Mailing Address
First Line	:	2701 PARK DR
Second Line	:	SUITE 6
City	:	CLEARWATER
State	:	FL
Zip	:	33763-1021
Country	:	US
Telephone Number	:	727-796-1490
Fax Number	:	727-797-5611

Provider Business Practice Location Address
First Line	:	2701 PARK DR
Second Line	:	SUITE 6
City	:	CLEARWATER
State	:	FL
Zip	:	33763-1021
Country	:	US
Telephone Number	:	727-796-1490
Fax Number	:	727-797-5611

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN SAVIDAKIS
Credential	:	D.P.M.
Telephone Number	:	727-796-1490

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	08/23/2013

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