# SOORENA SADRI DPM PA

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

## Provider details

- **NPI number:** 1609135300
- **Authorized official:** DR. SOORENA SADRI DPM (OWNER)
- **Authorized official phone:** (239) 590-8860

## Contact information

- **Practice address:** 4956 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
- **Practice address phone:** (239) 590-8860
- **Practice address fax:** (949) 577-4813
- **Mailing address:** 4956 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
- **Mailing address phone:** (239) 590-8860
- **Mailing address fax:** (949) 577-4813

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 05/27/2020