# ELITE FOOT & ANKLE SPECIALITSTS, LLC

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

## Provider details

- **NPI number:** 1477898690
- **Authorized official:** JOB TIMENY DPM (OWNER)
- **Authorized official phone:** (239) 689-5130

## Contact information

- **Practice address:** 15740 NEW HAMPSHIRE CT, SUITE B, FORT MYERS, FL 33908-4173
- **Practice address phone:** (239) 689-5130
- **Mailing address:** 15740 NEW HAMPSHIRE CT, SUITE B, FORT MYERS, FL 33908-4173
- **Mailing address phone:** (239) 689-5130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3490 | FL | Yes |

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 11/28/2012