| Tidewater Foot & Ankle Associates, Inc. | |
|
4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3496 | |
| (813) 925-9431 | |
| Not Available |
| Full Name | Tidewater Foot & Ankle Associates, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4168 Woodlands Pkwy Ste B, Palm Harbor, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629573217 | NPI | - | NPPES |
| 7720870001 | Other | FL | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3663 (Florida) | Primary |
| Provider Name | Kyle Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275824419 PECOS PAC ID: 6204051865 Enrollment ID: I20140715002460 |
| Provider Name | Megan Brook Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114211299 PECOS PAC ID: 1052531076 Enrollment ID: I20140925000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Foot & Ankle Associates, Inc. 4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3496 Ph: (813) 925-9431 | Tidewater Foot & Ankle Associates, Inc. 4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3496 Ph: (813) 925-9431 |
Tidewater Foot & Ankle Associates, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685 Phone: 813-925-9431 | |
Dr. Megan Brook Johnson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685 Phone: 813-925-9431 | |
Certified Foot & Ankle Specialists Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2595 Tampa Rd Ste O, Palm Harbor, FL 34684 Phone: 727-785-5611 | |
Dr. Kyle Johnson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685 Phone: 813-925-9431 | |
Foot And Ankle Medical Center Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3720 Tampa Rd, Palm Harbor, FL 34684 Phone: 727-781-4220 Fax: 727-375-4291 | |
Dr. Gary Barbosa, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3182 Edgemoore Drive, Palm Harbor, FL 34685 Phone: 727-787-2158 | |
George F Williams, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 34921 Us Highway 19 N, Suite 400, Palm Harbor, FL 34684 Phone: 727-785-8338 Fax: 727-781-5110 |