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

Dr. Wassem E Faragalla, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1598103905

Dr. Wassem E Faragalla, DPM is a Podiatry in Clearwater, Florida. Graduated from New York College of Podiatric Medicine in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Trained at
New York College of Podiatric Medicine
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

13600 Icot Blvd Bldg B
Clearwater, FL 33760-3703
Phone: (888) 290-6321
Fax: (727) 669-8417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence PO3803 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO3803 (FL)

Record details

NPI number1598103905
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 7, 2013
Last updated in NPPESMarch 22, 2018
Mailing address11416 Gramercy Park Ave, Bradenton, FL 34211-8459

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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