| NPI | 1194725002 |
|---|---|
| Doing Business As | FOOT & ANKLE GROUP |
| Entity Type | Organization |
| Authorized Contact | JEROLD S. GOLDSTEIN Authorized Official 239-936-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-3613) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-1326) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-2020) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-1693) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-3722) | |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2017-10-26 |