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

Tidewater Foot & Ankle Associates, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1629573217

Tidewater Foot & Ankle Associates, Inc is a Foot & Ankle Surgery Podiatrist in Palm Harbor, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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

4168 Woodlands Pkwy Ste B
Palm Harbor, FL 34685-3496
Phone: (813) 925-9431
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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 · Licence PO3663 (FL)

Record details

NPI number1629573217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Johnson — Owner/ Physician · (813) 925-9431
NPI enumeratedMarch 27, 2018
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3496

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