Provider Demographics
NPI:1437136793
Name:T S BEHRMANN ENTERPRISES INC
Entity Type:Organization
Organization Name:T S BEHRMANN ENTERPRISES INC
Other - Org Name:NORTH PINELLAS FOOT & ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:727-944-2523
Mailing Address - Street 1:651 E TARPON AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689
Mailing Address - Country:US
Mailing Address - Phone:727-944-2522
Mailing Address - Fax:727-944-2524
Practice Address - Street 1:651 E TARPON AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689
Practice Address - Country:US
Practice Address - Phone:727-944-2522
Practice Address - Fax:727-944-2524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLPO0002519213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390373700Medicaid
FL65439OtherBC
FLK1101Medicare PIN
FL65439OtherBC