| White Sands Podiatry Llc | |
|
502 S Ferdon Blvd, Crestview, FL 32536-4238 | |
| (850) 622-1607 | |
| (888) 302-6552 |
| Full Name | White Sands Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 502 S Ferdon Blvd, Crestview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659765865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3469 (Florida) | Primary |
| Provider Name | Sean C Hodson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114225380 PECOS PAC ID: 4587842604 Enrollment ID: I20110620000641 |
| Mailing Address | Practice Location Address |
|---|---|
| White Sands Podiatry Llc 981 Us Hwy 98, Ste 3410, Destin, FL 32541 Ph: (850) 622-1607 | White Sands Podiatry Llc 502 S Ferdon Blvd, Crestview, FL 32536-4238 Ph: (850) 622-1607 |
White Sands Podiatry Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 502 S Ferdon Blvd Ste B, Crestview, FL 32536 Phone: 850-622-1607 Fax: 888-302-6552 | |
White Sands Podiatry Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 502 South Ferdon Blvd, Crestview, FL 32536 Phone: 850-622-1607 Fax: 888-302-6552 | |
Neil Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 120 E Redstone Ave, Ste A, Crestview, FL 32539 Phone: 850-862-4119 | |
Siwicki & Ricciardi,p.l. Podiatrist Medicare: Medicare Enrolled Practice Location: 120 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 850-682-6522 | |
Carl Richard Ellis Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 416 Juniper Dr, Crestview, FL 32536 Phone: 850-682-1778 |