| Elite Sports Podiatry, Pa | |
|
1700 N Mcmullen Booth Rd, Suite C-2, Clearwater, FL 33759-2130 | |
| (727) 330-7646 | |
| (727) 330-4645 |
| Full Name | Elite Sports Podiatry, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 1700 N Mcmullen Booth Rd, Clearwater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356743207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | PO3445 (Florida) | Primary |
| Provider Name | Brian William Fullem |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922036086 PECOS PAC ID: 0648165050 Enrollment ID: I20110309000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Sports Podiatry, Pa 1700 N Mcmullen Booth Rd Ste C2, Clearwater, FL 33759-2129 Ph: (727) 330-7646 | Elite Sports Podiatry, Pa 1700 N Mcmullen Booth Rd, Suite C-2, Clearwater, FL 33759-2130 Ph: (727) 330-7646 |
Podiatry Associates Of Florida, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4625 E Bay Dr Ste 106, Clearwater, FL 33764 Phone: 904-251-5053 Fax: 904-224-2002 | |
Bruce J Levine, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2521 Countryside Blvd, Clearwater, FL 33763 Phone: 727-797-5008 Fax: 797-791-1330 | |
Jacqueline Claudia Lucke, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2521 Countryside Blvd, Clearwater, FL 33763 Phone: 727-797-5008 | |
Naomi S Marsh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2451 N Mcmullen Booth Rd, Ste 206, Clearwater, FL 33759 Phone: 813-960-2888 Fax: 813-925-1435 | |
Dr. Christine P Miller, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13600 Icot Blvd Bldg B, Clearwater, FL 33760 Phone: 888-290-6321 Fax: 727-669-8417 | |
John Savidakis Jr.,p.a. Podiatrist Medicare: Medicare Enrolled Practice Location: 2701 Park Dr, Suite 6, Clearwater, FL 33763 Phone: 727-796-1490 Fax: 727-797-5611 | |
Dr. Matthew Dean Westerfield, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 13600 Icot Blvd, Bldg B, Clearwater, FL 33760 Phone: 888-290-6321 Fax: 888-875-1592 |