OrganizationActive
Advance Tampa Bay Foot Medical, LLC
NPI 1821340225 · Foot Surgery Podiatrist · Tampa, FL
Provider details
- NPI number
- 1821340225
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Benjamin Le, Authorize Officer(813) 831-3813
- License
- PO2234 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
3325 W Gandy Blvd
Tampa, FL 33611-2931
Phone: (813) 831-3813
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13485
Tampa, FL 33681-3485
Registry dates
- Enumerated
- 2012-10-09
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.