# GULFCOAST FOOT & ANKLE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285854448
- **Authorized official:** MR. MICKEY EDSON GORDON D.P.M. (OWNER/PRESIDENT)
- **Authorized official phone:** (239) 566-8800

## Contact information

- **Practice address:** 11181 HEALTH PARK BOULEVARD, SUITE \#1180, NAPLES, FL 34110-5738
- **Practice address phone:** (239) 566-8800
- **Practice address fax:** (239) 566-8778
- **Mailing address:** P.O. BOX 110759, NAPLES, FL 34108-0113
- **Mailing address phone:** (239) 566-8800
- **Mailing address fax:** (239) 566-8778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO0002638 | FL | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 08/04/2015