| |
14580 Tamiami Trl Unit H, North Port, FL 34287-2708 | |
(941) 429-1702 | |
(941) 429-0981 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 14580 Tamiami Trl Unit H, North Port, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437302601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3256 (Florida) | Primary |
Provider Name | Sean D Shanahan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487642617 PECOS PAC ID: 4183603616 Enrollment ID: I20040717000043 |
Provider Name | David B Danielson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1821179755 PECOS PAC ID: 9830120666 Enrollment ID: I20061214000369 |
Provider Name | Scott Joseph Cohen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1730549395 PECOS PAC ID: 0840598942 Enrollment ID: I20160405002374 |
Mailing Address | Practice Location Address |
---|---|
14580 Tamiami Trl Unit H, North Port, FL 34287-2708 Ph: (941) 429-1702 | 14580 Tamiami Trl Unit H, North Port, FL 34287-2708 Ph: (941) 429-1702 |
Dr. Scott Paul Kurecki, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12757 Tamiami Trl S, North Port, FL 34287 Phone: 941-426-1167 Fax: 941-426-2571 | |
Dr. Timmy Truong, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 12757 S. Tamiami Trail, North Port, FL 34287 Phone: 941-426-1167 | |
Dr. Sean Dien Shanahan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14580 Tamiami Trl Unit H, North Port, FL 34287 Phone: 941-429-1702 Fax: 941-429-0981 | |
Dr. David B Danielson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14580 Tamiami Trl Unit H, North Port, FL 34287 Phone: 941-429-1702 Fax: 941-429-0981 |