DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ADVANCE TAMPA BAY FOOT MEDICAL, LLC

MEDICARE: ADVANCE TAMPA BAY FOOT MEDICAL, LLC
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
1213ES0131XFoot Surgery PodiatristPO2234FL

Other Identifiers

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

General Provider Information

NPI Number : 1821340225
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCE TAMPA BAY FOOT MEDICAL, LLC
Provider Business Mailing Address
First Line : PO BOX 13485
Second Line :
City : TAMPA
State : FL
Zip : 33681-3485
Country : US
Telephone Number : 813-831-3813
Fax Number :
Provider Business Practice Location Address
First Line : 3325 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2931
Country : US
Telephone Number : 813-831-3813
Fax Number :
Authorized Official
Title or Position : AUTHORIZE OFFICER
Name : DR. BENJAMIN Q LE
Credential : DPM
Telephone Number : 813-831-3813
Provider Enumeration Date : 10/09/2012
Last Update Date : 05/11/2017

Similar Medicare Providers

1568456697 — DR. DARON G. DIECIDUE M.D.
Practice Location Address:
3301 W GANDY BLVD
TAMPA, FL
33611-2931
Practice Phone: 813-925-1903
Practice Fax: 813-644-7141
1760477442 — DR. MICHAEL E DUNN M.D.
Practice Location Address:
3317 W GANDY BLVD
TAMPA, FL
33611-2931
Practice Phone: 813-902-8600
Practice Fax: 813-902-8800
1275508855 — DR. JEROME AMBROSE WEHR M.D.
Practice Location Address:
3301 W GANDY BLVD
TAMPA, FL
33611-2931
Practice Phone: 813-925-1903
Practice Fax: 813-749-8370
1134171077 — STEPHEN PARSONS NP
Practice Location Address:
3301 W GANDY BLVD
TAMPA, FL
33611-2931
Practice Phone: 813-925-1903
Practice Fax: 813-749-8370
1104871508 — SANDRA KAY STAPLETON PA
Practice Location Address:
3301 W GANDY BLVD
TAMPA, FL
33611-2931
Practice Phone: 813-925-1903
Practice Fax:
1760437883 — GLENN A KWIAT MD
Practice Location Address:
3301 W GANDY BLVD
TAMPA, FL
33611-2931
Practice Phone: 813-925-1903
Practice Fax:
1497797807 — NOUHAD YACOUB MOUSSA MD
Practice Location Address:
3301 W GANDY BLVD
TAMPA, FL
33611-2931
Practice Phone: 813-925-1903
Practice Fax:

Directions to “ADVANCE TAMPA BAY FOOT MEDICAL, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.