ELITE SPORTS PODIATRY, PA
NPI 1356743207
Podiatrist - Foot Surgery in Clearwater, FL

Q: What is Elite Sports Podiatry, PA's NPI number?

The NPI number for Elite Sports Podiatry, PA is 1356743207. It was assigned to this organization in the NPPES registry on September 23, 2014.

Q: What is Elite Sports Podiatry, PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Active since September 23, 2014

1700 N MCMULLEN BOOTH RD, SUITE C-2, CLEARWATER, FL 33759(727) 330-7646(727) 330-4645 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elite Sports Podiatry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE SPORTS PODIATRY, PA (NPI 1356743207) is a healthcare organization registered as a foot surgery in Clearwater, Florida and active in the NPI registry since September 2014. The organization lists Brian William Fullem, Medical Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1356743207

Entity TypeOrganization

Primary Taxonomy213ES0131X

Legal Business NameELITE SPORTS PODIATRY, PA

Location Address1700 N MCMULLEN BOOTH RD, SUITE C-2Clearwater, FL 33759-2130

Mailing Address1700 N Mcmullen Booth Rd Ste C2Clearwater, FL 33759-2129 · (727) 330-7646 · Fax (727) 330-7645

Phone(727) 330-7646

Fax(727) 330-4645

Organization SubpartNo

Authorized OfficialBrian William FullemMedical Doctor/owner · (203) 241-2582

Enumeration DateSeptember 23, 2014

Last NPPES UpdateJanuary 7, 2015

✔ NPI 1356743207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in FL · PO3445

1700 N MCMULLEN BOOTH RD, Clearwater, FL 33759

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Other Identifiers 1

Medicare UPINU19859FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE P POINDEXTER MYATT M.D.

Internal Medicine

1700 N MCMULLEN BOOTH RD, STE D-1
CLEARWATER, FL 33759

Pinellas County (727) 669-3800

MRS. DONNA FAYE THEISS ARNP

Nurse Practitioner (Family)

1700 N MCMULLEN BOOTH RD, SUITE D1
CLEARWATER, FL 33759

Pinellas County (352) 671-6788

ALCRISTA INVESTMENTS, INC.

Home Health

1700 N MCMULLEN BOOTH RD, SUITE B-3
CLEARWATER, FL 33759

Pinellas County (813) 886-2023

DR. LEAH ALEXANDER SWAIM

Psychologist

1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759

Pinellas County (407) 462-0518

CALLIE KING PHD

Psychologist

1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759

Pinellas County (727) 228-2388

DR. WILLIAM ALVAREZ D.O.

Family Medicine

1700 N MCMULLEN BOOTH RD, SUITE C3
CLEARWATER, FL 33759

Pinellas County (727) 723-3921

MS. NICOLE MARIE FALK OTR

Occupational Therapist

1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759

Pinellas County (727) 967-3025

ANKLE & FOOT CENTER OF TAMPA BAY

Podiatrist (Foot & Ankle Surgery)

1700 N MCMULLEN BOOTH RD, SUITE A2-B
CLEARWATER, FL 33759

Pinellas County (727) 725-2719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Sports Podiatry, PA's NPI number?

The NPI number for Elite Sports Podiatry, PA is 1356743207. It was assigned to this organization in the NPPES registry on September 23, 2014.

Where is Elite Sports Podiatry, PA located?

Elite Sports Podiatry, PA is located at 1700 N Mcmullen Booth Rd Suite C-2, Clearwater, FL 33759. The listed phone number is (727) 330-7646.

What is Elite Sports Podiatry, PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Elite Sports Podiatry, PA was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.