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SANDRA P DESAI DPM NPI 1104867050


NPI Information

NPI: 1104867050
Provider Name: SANDRA P DESAI DPM

Doing Business As: LEE PODIATRY GROUP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
12734 KENWOOD LN
SUITE 44
FORT MYERS, FL
ZIP 33907
Phone: (239) 936-2454
Get Directions

SANDRA P DESAI DPM is a podiatrist in Fort Myers, FL. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SANDRA P DESAI DPM NPI is 1104867050. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lee Podiatry Group.

The provider's business location address is:

12734 KENWOOD LN
SUITE 44
FORT MYERS, FL
ZIP 33907-666
Phone: (239) 936-2454
Fax: (239) 936-1974

The provider's authorized official is Laura Toadvine .
The authorized official title is Office Manager and has the following contact phone number (239) 936-2454.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryPO2882FLORIDANo
2213E00000XPodiatristPO2833FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1340439100MEDICAIDFLORIDA
2K5353MEDICARE PINFLORIDA
35155880002MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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