# ERIC S TRATHEN DPM INC

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

## Provider details

- **NPI number:** 1649664426
- **Authorized official:** DR. ERIC STEPHEN TRATHEN DPM (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (239) 689-1235

## Contact information

- **Practice address:** 12630 WORLD PLAZA LN, 70, FORT MYERS, FL 33907-3987
- **Practice address phone:** (239) 689-1235
- **Practice address fax:** (239) 274-8319
- **Mailing address:** 12630 WORLD PLAZA LN, 70, FORT MYERS, FL 33907-3987
- **Mailing address phone:** (239) 689-1235
- **Mailing address fax:** (239) 274-8319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3472 | FL | Yes |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 03/19/2015