# DAYTONA FOOT & ANKLE SPECIALISTS PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1356521140
- **Authorized official:** DR. ERIC MARK GOLDENBERG D.P.M. (PRESIDENT)
- **Authorized official phone:** (386) 252-9656

## Contact information

- **Practice address:** 311 N CLYDE MORRIS BLVD, SUITE 300, DAYTONA BEACH, FL 32114-2756
- **Practice address phone:** (386) 252-9656
- **Practice address fax:** (386) 252-4649
- **Mailing address:** 311 N CLYDE MORRIS BLVD, SUITE 300, DAYTONA BEACH, FL 32114-2756
- **Mailing address phone:** (386) 252-9656
- **Mailing address fax:** (386) 252-4649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2530 | FL | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 09/24/2010