SOORENA SADRI DPM PA NPI 1609135300

NPI Information

NPI: 1609135300
Provider Name: SOORENA SADRI DPM PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4956 ROYAL GULF CIR
FORT MYERS, FL
ZIP 33966
Phone: (239) 590-8860
Get Directions

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery		FLORIDA	Yes

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
1	6506A	OTHER	FLORIDA	BLUE SHIELD
2	P01066091	OTHER	FLORIDA	RAILROAD 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: 11/14/2023

NPI Synchronization or Removal

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