Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayshore Podiatry Center

Organization Podiatrist · NPI 1982688354

Bayshore Podiatry Center is a Podiatrist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
4

Practice location Address checks out

508 S Habana Ave Ste 230
Tampa, FL 33609-4161
Phone: (813) 877-6636
Fax: (813) 877-6610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X (FL)
Podiatrist Taxonomy 213E00000X · Licence P00001221 (FL)
Podiatrist Taxonomy 213E00000X (FL)
Podiatric Clinic/Center Taxonomy 261QP1100X

Record details

NPI number1982688354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Repko — President · (813) 877-6636
NPI enumeratedNovember 30, 2005
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address508 S Habana Ave Ste 230, Tampa, FL 33609-4161

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