Healthcare Provider Details

I. General information

NPI: 1295652964
Provider Name (Legal Business Name): AIRE PODIATRY TAMPA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 S BOULEVARD STE 2
TAMPA FL
33606-2629
US

IV. Provider business mailing address

603 S BOULEVARD STE 2
TAMPA FL
33606-2629
US

V. Phone/Fax

Practice location:
  • Phone: 917-985-9073
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MONA RAMANI
Title or Position: OWNER
Credential: DPM
Phone: 917-985-9073