WHITE SANDS PODIATRY LLC NPI 1235962028

NPI Information

  • NPI: 1235962028
  • Provider Name: WHITE SANDS PODIATRY LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 1032 MAR WALT DR
    STE 100
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 622-1607

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NPI Details

WHITE SANDS PODIATRY LLC is a foot and ankle surgery podiatrist in Fort Walton Beach, FL. WHITE SANDS PODIATRY LLC NPI is 1235962028. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1032 MAR WALT DR
STE 100
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 622-1607
Fax: (888) 302-6552

The provider's authorized official is Sean Charles Hodson .
The authorized official title is Owner/physician and has the following contact phone number (850) 622-1607.

The enumeration date for this NPI number is 8/26/2024 and was last updated on 12/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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