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Dr. T Gail Stark, DPM
Foot Surgery Podiatrist in Pensacola, Florida
NPI 1750460341

T Gail Stark is a Foot Surgery Podiatrist based in Pensacola, FL and is specialized in Foot Surgery. T Gail Stark practices in Pensacola, FL and has the professional credentials of DPM. The NPI Number for T Gail Stark is 1750460341 and holds a License No. PO2420 (Florida).

The current practice location address for T Gail Stark is 11739 Chanticleer Dr, Pensacola, FL and can be reached out via phone at 850-982-2625.

Location: 11739 Chanticleer Dr, Pensacola, FL, 32507-4150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750460341
Provider Name
T Gail Stark
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
11739 Chanticleer Dr, Pensacola, FL, 32507-4150
Phone Number
850-982-2625
Fax Number
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390273100 05 FL
institution
Provider Business Practice Location Address Details
Address
11739 Chanticleer Dr
City
Pensacola
State
Florida
Zip
32507-4150
Phone Number
850-982-2625
Fax Number
person
Provider Business Mailing Address Details
Address
11739 Chanticleer Dr
City
Pensacola
State
Florida
Zip
32507-4150
Phone Number
850-982-2625
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO2420 (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.
160 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
PO2420 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
160 (Alabama)
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.
PO2420 (Florida)
Definition
Definition to come...
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