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FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA PA NPI 1194725002


NPI Information

NPI: 1194725002
Provider Name: FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, PA

Doing Business As: FOOT & ANKLE GROUP

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
5238 MASON CORBIN CT
SUITE 102
FORT MYERS, FL
ZIP 33907
Phone: (239) 936-5400
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FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, PA is a foot and ankle surgery podiatrist in Fort Myers, FL. FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, PA NPI is 1194725002. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foot & Ankle Group.

The provider's business location address is:

5238 MASON CORBIN CT
SUITE 102
FORT MYERS, FL
ZIP 33907-738
Phone: (239) 936-5400
Fax: (239) 936-9572

The provider's authorized official is Jerold S. Goldstein .
The authorized official title is Authorized Official and has the following contact phone number (239) 936-5400.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 10/26/2017.


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
1213E00000XPodiatristNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO-1326FLORIDANo
3213ES0103XPodiatristFoot & Ankle SurgeryPO-2020FLORIDANo
4213ES0103XPodiatristFoot & Ankle SurgeryPO-1693FLORIDANo
5213ES0103XPodiatristFoot & Ankle SurgeryPO-3722FLORIDANo
6261QP1100XClinic/CenterPodiatricNo
7213ES0103XPodiatristFoot & Ankle SurgeryPO-3613FLORIDAYes

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
10958680001MEDICARE NSCFLORIDA
2CN1511OTHERFLORIDARAILROAD MEDICARE
339243MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
4340184700MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.