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Contact Information

DAVID J LOISELLE DPM PA
14219 WALSINGHAM RD
SUITE K
LARGO, FL33774-3249
 Phone: 727-596-9703
 Fax: 727-596-9703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID J LOISELLE DPM PA

NPI Number 1528371010
LBN Legal business name DAVID J LOISELLE DPM PA
Authorized official DAVID LOISELLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2010
Last updated 07/28/2010 - About 16 years ago
Identifiers
FL License # PO 1880
FL Medicaid 029762300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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