person
Dr. Kristie Lynn Taddie, DPM
Foot & Ankle Surgery Podiatrist in Clearwater, Florida
NPI 1861416547

Kristie Lynn Taddie is a Foot & Ankle Surgery Podiatrist based in Ormond Beach, FL and is specialized in Foot & Ankle Surgery. Kristie Lynn Taddie practices in Clearwater, FL and has the professional credentials of DPM. The NPI Number for Kristie Lynn Taddie is 1861416547 and holds a License No. 5901002145 (Florida).

The current practice location address for Kristie Lynn Taddie is 13600 Icot Blvd Bldg A, Clearwater, FL and can be reached out via phone at 727-796-6900 and via fax at 727-669-8417. You can also correspond with Kristie Lynn Taddie through the mailing address at 233 OSCEOLA AVE, ORMOND BEACH, FL - 32176-6638 (mailing address contact number: 386-672-6424).

Location: 13600 Icot Blvd Bldg A, Clearwater, FL, 32176-6638
person
Provider Profile Details
NPI Number
1861416547
Provider Name
Kristie Lynn Taddie
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
13600 Icot Blvd Bldg A, Clearwater, FL, 32176-6638
Phone Number
727-796-6900
Fax Number
727-669-8417
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340608300 05 FL
PO3265 01 FL PODIATRIC LICENSE
5901002145 01 MI PODIATRIC MEDICINE AND SURGERY
institution
Provider Business Practice Location Address Details
Address
13600 Icot Blvd Bldg A
City
State
Zip
33760-3703
Phone Number
727-796-6900
Fax Number
727-669-8417
person
Provider Business Mailing Address Details
Address
13600 Icot Blvd Bldg A
City
State
Zip
33760-3703
Phone Number
727-796-6900
Fax Number
727-669-8417
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002145 (Michigan)
Definition
Definition to come...
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