# SOLE PODIATRY CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOLE PODIATRY CENTER PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053774596
- **Legal business name:** SOLE PODIATRY CENTER PA
- **Authorized official:** DR. SEAN M. KIBRIA D.P.M. (PHYSICIAN)
- **Authorized official phone:** (239) 353-1555

## Contact information

- **Practice address:** 5475 GOLDEN GATE PKWY, STE 4, NAPLES, FL 34116-7529
- **Practice address phone:** (239) 353-1555
- **Practice address fax:** (239) 353-7001
- **Mailing address:** 5475 GOLDEN GATE PKWY, STE 4, NAPLES, FL 34116-7529
- **Mailing address phone:** (239) 353-1555
- **Mailing address fax:** (239) 353-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P03769 | FL | Yes |

## Other

- **Enumeration date:** 04/01/2016
- **Last updated:** 04/01/2016