WHITE SANDS PODIATRY LLC
NPI 1720811508
Podiatrist - Foot & Ankle Surgery in Crestview, FL

Active since August 26, 2024
502 SOUTH FERDON BLVD, CRESTVIEW, FL 32536(850) 622-1607(888) 302-6552 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Sands Podiatry Llc NPPES

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

WHITE SANDS PODIATRY LLC (NPI 1720811508) is a healthcare organization registered as a foot & ankle surgery in Crestview, Florida and active in the NPI registry since August 2024. The organization lists Sean Charles Hodson, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1720811508
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWHITE SANDS PODIATRY LLC
Location Address502 SOUTH FERDON BLVDCrestview, FL 32536
Mailing Address981 Us Hwy 98, Ste 3410Destin, FL 32541 · (850) 622-1607 · Fax (888) 302-6552
Fax(888) 302-6552
Organization SubpartYes
Authorized OfficialSean Charles HodsonOwner/physician · (850) 622-1607
Enumeration DateAugust 26, 2024
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
NPI 1720811508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
502 SOUTH FERDON BLVD, Crestview, FL 32536

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

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 White Sands Podiatry LLC's NPI number?

The NPI number for White Sands Podiatry LLC is 1720811508. It was assigned to this organization in the NPPES registry on August 26, 2024.

Where is White Sands Podiatry LLC located?

White Sands Podiatry LLC is located at 502 South Ferdon Blvd, Crestview, FL 32536. The listed phone number is (850) 622-1607.

What is White Sands Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for White Sands Podiatry LLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.