Whalio Doctors

NPI 1295745560

Gulf Coast Podiatry, PA

Organisation Foot & Ankle Surgery Podiatrist Panama City, FL

Practice location

Address
2507 Harrison Ave Unit 201, Panama City, FL 32405-4447
Phone
(850) 769-0325
Fax
(850) 769-4476

Authorised official

Name
Shayne Jensen
Title
President
Phone
(850) 769-0325

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X
Foot Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X

Registry record

NPI
1295745560
Entity type
Organization
NPI issued
9 Aug 2006
Record last updated
18 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.