Foot & Ankle Group Of Southwest Florida, Pa in Fort Myers - Podiatrist
Foot & Ankle Group Of Southwest Florida, Pa - NPI 1194725002
Foot & Ankle Group Of Southwest Florida, Pa is a Podiatrist in Fort Myers, Florida. Foot & Ankle Group Of Southwest Florida, Pa practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Foot & Ankle Group Of Southwest Florida, Pa is 1194725002. The last update date is 2017-10-26.
Foot & Ankle Group Of Southwest Florida, Pa's current location address is 5238 Mason Corbin Ct, Fort Myers, Florida. You can contact this provider via phone number 2399365400 and fax number 2399369572. The mailing address for Foot & Ankle Group Of Southwest Florida, Pa is 5238 Mason Corbin Ct, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foot & Ankle Group Of Southwest Florida, Pa |
|---|---|
| Address | 5238 Mason Corbin Ct, Fort Myers, Florida |
| Phone Number | 2399365400 |
| Fax Number | 2399369572 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Goldstein S. Jerold |
| Telephone Number | 2399365400 |
NPI Number Detail
| NPI Number | 1194725002 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2017-10-26 |
Provider Mailing Address Detail
| Address | 5238 Mason Corbin Ct |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339077738 |
| Phone Number | 2399365400 |
| Fax Number | 2399369572 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340184700 | FL | -- | |
| CN1511 | FL | RAILROAD MEDICARE |
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What is the Foot & Ankle Group Of Southwest Florida, Pa's 1194725002?
The Foot & Ankle Group Of Southwest Florida, Pa's NPI (National Provider Identifier) Number is 1194725002. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Foot & Ankle Group Of Southwest Florida, Pa located?
The Foot & Ankle Group Of Southwest Florida, Pa is located at 5238 Mason Corbin Ct, Fort Myers, FL 339077738.
What is the Foot & Ankle Group Of Southwest Florida, Pa's area of specialization and corresponding taxonomy classification?
The Foot & Ankle Group Of Southwest Florida, Pa's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Foot & Ankle Group Of Southwest Florida, Pa receive the assignment of its 1194725002 from the Centers for Medicare & Medicaid Services?
The Foot & Ankle Group Of Southwest Florida, Pa was issued its 1194725002 by the Centers for Medicare & Medicaid Services on 2005-07-21.
When was the information pertaining to Foot & Ankle Group Of Southwest Florida, Pa most recently updated or revised?
The details related to Foot & Ankle Group Of Southwest Florida, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2017-10-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY