GULF COAST PODIATRY PA NPI 1295745560

NPI Information

NPI: 1295745560
Provider Name: GULF COAST PODIATRY, PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2507 HARRISON AVE UNIT 201
PANAMA CITY, FL
ZIP 32405
Phone: (850) 769-0325
Get Directions

GULF COAST PODIATRY, PA is a foot and ankle surgery podiatrist in Panama City, FL. GULF COAST PODIATRY, PA NPI is 1295745560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2507 HARRISON AVE UNIT 201
PANAMA CITY, FL
ZIP 32405-447
Phone: (850) 769-0325
Fax: (850) 769-4476

The provider's authorized official is Shayne Jensen .
The authorized official title is President and has the following contact phone number (850) 769-0325.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 11/18/2020.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes
2	213ES0131X	Podiatrist	Foot Surgery			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45803	OTHER	FLORIDA	BLUECROSSBLUESHIELD
2	CK8386	OTHER	FLORIDA	RR MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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