DIRECT FOOT CLINIC LLC (NPI# 1972043057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972043057 |
| Entity Type | Organization |
| Organization Name | DIRECT FOOT CLINIC LLC |
| Practice Address |
5535 Memorial Hwy Tampa FL 33634-7332 |
| Mailing Address |
121 Hickory Creek Dr Brandon FL 33511-8059 |
| Practice Telephone | 8135744869 |
| Mailing Telephone | 8135418734 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | BITA ANSARI (MANAGER) |
| Authorized Official Telephone | 8135418734 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5535 MEMORIAL HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607321 | Family Physicians of Tampa Bay | Family Medicine | 5535 Memorial Hwy, Tampa, FL 33634-7370 | 2005-05-31 |
| 1538680111 | Jaylex Pharmacy LLC | Pharmacy | 5535 Memorial Hwy, Tampa, FL 33634-7332 | 2017-07-04 |
| 1427402312 | Elba Casellas | Pharmacist | 5535 Memorial Hwy, Tampa, FL 33634-7332 | 2016-04-18 |
| 1528353158 | Yansy Chiang | Massage Therapist | 5535 Memorial Hwy, Tampa, FL 33634-7332 | 2011-06-11 |
| 1689989014 | Foundation Consultants Services Inc | Family Medicine | 5535 Memorial Hwy, Tampa, FL 33634-7332 | 2010-08-10 |
| 1922237007 | Triple - I - Care LLC | Clinic/Center | 5535 Memorial Hwy, Tampa, FL 33634-7370 | 2009-07-09 |
| 1730380197 | Vivian D. Angulo | Specialist | 5535 Memorial Hwy, Tampa, FL 33634-7332 | 2007-05-31 |
| 1336351402 | Freedom Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 5535 Memorial Hwy, Tampa, FL 33634-7332 | 2007-05-03 |
| 1043349715 | Doctors Family Medical Center Inc. | Clinic/Center | 5535 Memorial Hwy, Tampa, FL 33634-7370 | 2007-03-05 |
| 1962509133 | Kosmas M Sarantis | Internal Medicine | 5535 Memorial Hwy, Tampa, FL 33634-7332 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1104351956 | Tommy Steven Kennedy | Podiatrist | 401 E Jackson St Ste 2340, Tampa, FL 33602-5226 | 2017-04-28 |
| 1295123966 | Melissa Trok-albear | Podiatrist | 6422 E Maclaurin Dr, Tampa, FL 33647-1170 | 2015-01-05 |
| 1548683667 | Michael Zuri | Podiatrist | 2511 West Doctor Martin Luther King Blvd, Tampa, FL 33607 | 2014-01-24 |
| 1972862191 | Janale Beckford | Podiatrist | 1881 W Kennedy Blvd Ste A, Tampa, FL 33606-1611 | 2012-05-08 |
| 1285962647 | Stephen Mourat | Podiatrist | 2007 W Swann Ave, Tampa, FL 33606-2483 | 2009-11-24 |
| 1063676575 | Kibibi Davison | Podiatrist | 7532 Clearview Dr, Tampa, FL 33634 | 2008-07-14 |
| 1710157680 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13389 N 56th St Bldg J, Tampa, FL 33617-1161 | 2008-03-07 |
| 1891888533 | Kiki Hoang Tran-bergman | Podiatrist | 6301 Memorial Hwy Ste 301, Tampa, FL 33615-4573 | 2006-10-02 |
| 1871692285 | Donald Edward Beckett | Podiatrist | 10144 Deercliff Dr, Tampa, FL 33647-2936 | 2006-09-22 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on DIRECT FOOT CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.