# LOWER EXTREMITY SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1508312687
- **Authorized official:** EDWARD GONZALEZ D.P.M. (SOLE PROPRIETOR)
- **Authorized official phone:** (305) 301-0005

## Contact information

- **Practice address:** 2500 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5750
- **Practice address phone:** (305) 301-0005
- **Mailing address:** PO BOX 152545, CAPE CORAL, FL 33915-2545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3451 | FL | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016