Organization Active NPI

William T Trabulsi DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Lutz, FL
National Provider Identifier
1780872648
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3124 Issued in FL
Legal business name
WILLIAM T TRABULSI DPM PA
Practice address
19013 N Dale Mabry Hwy
Lutz, FL 33548-9200
Phone
(813) 406-4806
Fax
(813) 406-4807
NPI assigned
Oct 4, 2007
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Theodore Trabulsi, DPM
Title
Podiatrist
Phone
(813) 406-4806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3124 FL Primary

Addresses

Primary practice location

19013 N Dale Mabry Hwy
Lutz, FL 33548-9200

Mailing address

19013 N Dale Mabry Hwy
Lutz, FL 33548-9200
Phone (813) 406-4806

Other identifiers 2

IdentifierTypeStateIssuer
DE7120OtherFLMEDICARE RAILROAD
1003002759OtherFLMOBILE PHYSICIAN SERVICE, P.A.

National Provider Directory

National Provider Directory

Locations

19013 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 406-4806

3909 Galen Ct
Ste 103
Sun City Center, FL 33573
Phone (727) 787-4379

3909 Galen Ct
Ste B1
Sun City Ctr, FL 33573
Phone (813) 436-6777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1780872648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19013 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335489200",
            "telephone_number": "813-406-4806",
            "fax_number": "813-406-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19013 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335489200",
            "telephone_number": "813-406-4806",
            "fax_number": "813-406-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T TRABULSI DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "TRABULSI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "813-406-4806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE7120",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOBILE PHYSICIAN SERVICE, P.A.",
            "identifier": "1003002759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.