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Organization
GULFCOAST FOOT AND ANKLE ASSOCIATES LLC
Active
Organization
GULFCOAST FOOT AND ANKLE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY EDSON GORDON DPM (OWNER)
(239) 566-8800
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD, 3RD FLOOR, NAPLES, FL 34119-3900
(239) 566-8800
(239) 566-8800
Mailing address
PO BOX 110759, NAPLES, FL 34108-0113
(239) 566-8800
(239) 566-8778
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0002638
FL
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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