Healthcare Provider Details

I. General information

NPI: 1982265096
Provider Name (Legal Business Name): NAVED BHUIYAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6326 FORT KING RD
ZEPHYRHILLS FL
33542-2531
US

IV. Provider business mailing address

6326 FORT KING RD
ZEPHYRHILLS FL
33542-2531
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-3600
  • Fax: 813-788-7010
Mailing address:
  • Phone: 813-788-3600
  • Fax: 813-788-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number4311
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPR589
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: