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Dr. Patrick Derby, DPM
Foot & Ankle Surgery Podiatrist in Tampa, Florida
NPI 1073075222

Patrick Derby is a Foot & Ankle Surgery Podiatrist based in Winter Garden, FL and is specialized in Foot & Ankle Surgery. Patrick Derby practices in Tampa, FL and has the professional credentials of DPM. The NPI Number for Patrick Derby is 1073075222 and holds a License No. PO4422 (Florida).

The current practice location address for Patrick Derby is 2511 W Dr Martin Luther King Jr Blvd, Tampa, FL and can be reached out via phone at 813-879-7850 and via fax at 813-870-3569.

Location: 2511 W Dr Martin Luther King Jr Blvd, Tampa, FL, 34787-5773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073075222
Provider Name
Patrick Derby
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2511 W Dr Martin Luther King Jr Blvd, Tampa, FL, 34787-5773
Phone Number
813-879-7850
Fax Number
813-870-3569
Provider Enumeration Date
04/04/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPOAV 01 FL BCBS
7333506 01 FL CIGNA ID
114530400 05 FL
6605657 01 FL AETNA
15659126 01 CAQH ID
institution
Provider Business Practice Location Address Details
Address
2511 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6301
Phone Number
813-879-7850
Fax Number
813-870-3569
person
Provider Business Mailing Address Details
Address
2511 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6301
Phone Number
813-879-7850
Fax Number
813-870-3569
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO4422 (Florida)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
PO4422 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
PO4422 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO4422 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
PO4422 (Florida)
Definition
Definition to come...
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