WHITE SANDS PODIATRY LLC; NPI #1720811508

Contact Information

WHITE SANDS PODIATRY LLC

502 SOUTH FERDON BLVD
CRESTVIEW, FL 32536

Phone: 850-622-1607
Fax: 888-302-6552
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for WHITE SANDS PODIATRY LLC

NPI #	`1720811508`
LBN Legal business name	WHITE SANDS PODIATRY LLC
Authorized official	SEAN HODSON - (OWNER/PHYSICIAN)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	08/26/2024
Last updated	12/05/2024 - More than a year ago
Identifiers	n/a

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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WHITE SANDS PODIATRY LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for WHITE SANDS PODIATRY LLC

Reviews for WHITE SANDS PODIATRY LLC