# SEACOAST FOOT AND ANKLE LLC

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

## Provider details

- **NPI number:** 1588347280
- **Authorized official:** AL BERRY (CREDENTIALING MANAGER)
- **Authorized official phone:** (386) 703-9084

## Contact information

- **Practice address:** 587 US HIGHWAY 41 BYP N, VENICE, FL 34285-6040
- **Practice address phone:** (941) 837-3106
- **Mailing address:** 587 US HIGHWAY 41 BYP N, VENICE, FL 34285-6040
- **Mailing address phone:** (941) 837-3106
- **Mailing address fax:** (941) 837-3107

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 01/22/2024