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

Bayshore Podiatry Center Inc

Organization Podiatrist · NPI 1093798704

Bayshore Podiatry Center Inc 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
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

508 S Habana Ave 230
Tampa, FL 33609-4181
Phone: (813) 877-6636
Fax: (813) 877-6636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Podiatrist Taxonomy 213E00000X · Licence P02913 (FL)
Sports Medicine Podiatrist Taxonomy 213ES0000X
Foot Surgery Podiatrist Taxonomy 213ES0131X (FL)

Record details

NPI number1093798704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Repko — President · (813) 877-6636
Other names Bayshore Podiatry Center; Bayshore Podiatry Center
NPI enumeratedNovember 28, 2005
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address508 S Habana Ave, Suite 230, Tampa, FL 33609-4181

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