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Organization
SANDRA P DESAI DPM
Active
Organization
SANDRA P DESAI DPM
Active
Other names
Lee Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TOADVINE (OFFICE MANAGER)
(239) 936-2454
Entity
Organization
Contact information
Practice address
12734 KENWOOD LN, SUITE 44, FORT MYERS, FL 33907-5666
(239) 936-2454
(239) 936-1974
Mailing address
12734 KENWOOD LN, SUITE 44, FORT MYERS, FL 33907-5666
(239) 936-2454
(239) 936-1974
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2833
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340439100
—
FL
Enumeration date
06/10/2006
Last updated
08/30/2011
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