SOORENA SADRI DPM PA NPI 1609135300

NPI Information

  • NPI: 1609135300
  • Provider Name: SOORENA SADRI DPM PA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 4956 ROYAL GULF CIR
    FORT MYERS, FL
    ZIP 33966
  • Phone: (239) 590-8860

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NPI Details

SOORENA SADRI DPM PA is a foot and ankle surgery podiatrist in Fort Myers, FL. SOORENA SADRI DPM PA NPI is 1609135300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4956 ROYAL GULF CIR
FORT MYERS, FL
ZIP 33966-006
Phone: (239) 590-8860
Fax: (949) 577-4813

The provider's authorized official is Soorena Sadri .
The authorized official title is Owner and has the following contact phone number (239) 590-8860.

The enumeration date for this NPI number is 5/15/2012 and was last updated on 5/27/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryFLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16506AOTHERFLORIDABLUE SHIELD
2P01066091OTHERFLORIDARAILROAD MEDICARE

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: 11/21/2025

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