Gulf Coast Podiatry, Pa

LBN: Gulf Coast Podiatry, Pa
Gulf Coast Podiatry, Pa is an health care organization with primary practice located at 2507 Harrison Ave Unit 201 , Panama City FL 32405-4447. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Gulf Coast Podiatry, Pa can be contacted via phone (850) 769-0325, or through Jensen, Shayne via phone (850) 769-0325.

Contact Information

Primary practice address
2507 Harrison Ave Unit 201 Panama City FL 32405-4447
Phone: (850) 769-0325
Fax: (850) 769-4476
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Shayne Doctor of Dental Medicine (DMD)
Phone: (850) 769-0325

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X

Profile Details

NPI number 1295745560
LBN Legal business name Gulf Coast Podiatry, Pa
DBA Doing business as
Authorized official Jensen, Shayne Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Nov 18th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295745560 NPPES
Florida Other 45803 BLUECROSSBLUESHIELD
Florida Other CK8386 BLUECROSSBLUESHIELD

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