| NPI | 1093798704 |
|---|---|
| Doing Business As | BAYSHORE PODIATRY CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD REPKO President 813-877-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| 213E00000X Podiatrist (Licence: FL P02913) | |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2021-09-08 |