# CENTER FOR FOOT & ANKLE EXCELLENCE

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

## Provider details

- **NPI number:** 1588980114
- **Authorized official:** DR. LARRY GOSS DPM (PROVIDER)
- **Authorized official phone:** (215) 483-2006

## Contact information

- **Practice address:** 5735 RIDGE AVE, STE 208, PHILADELPHIA, PA 19128-1745
- **Practice address phone:** (215) 483-2006
- **Practice address fax:** (215) 483-2066
- **Mailing address:** 5735 RIDGE AVE, STE 208, PHILADELPHIA, PA 19128-1745
- **Mailing address phone:** (215) 483-2006
- **Mailing address fax:** (215) 483-2066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004111L | PA | Yes |

## Other

- **Enumeration date:** 04/07/2010
- **Last updated:** 12/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1024531700001 | — | PA |