# FLEETWOOD FOOTCARE CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fleetwood Foot and Ankle Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598776833
- **Authorized official:** KATHY L GEIST (CREDENTIALING)
- **Authorized official phone:** (610) 944-6537

## Contact information

- **Practice address:** 12 LENHART RD, FLEETWOOD, PA 19522-8613
- **Practice address phone:** (610) 944-6537
- **Practice address fax:** (610) 944-8152
- **Mailing address:** 12 LENHART RD, PO BOX 425, FLEETWOOD, PA 19522-0425
- **Mailing address phone:** (610) 944-6537
- **Mailing address fax:** (610) 944-8152

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 06/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02340700 | BC | PA |
| 05 | — | 1016356050001 | — | PA |
| 01 | — | 1602963 | BS | PA |