Repko, James Edward

Repko, James Edward is an individual health care provider with primary practice located at 508 S Habana Ave Ste 230 , Tampa FL 33609-4161. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Repko, James Edward can be contacted via phone (813) 877-6636.

Contact Information

Primary practice address
508 S Habana Ave Ste 230 Tampa FL 33609-4161
Fax: (813) 877-6610
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC006712 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4191 Florida

Profile Details

NPI number 1134537384
LBN Legal business name Repko, James Edward
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated Oct 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134537384 NPPES
Pennsylvania MEDICAID 103279563001

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