# FOOT AND ANKLE EXCELLENCE, INC

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

## Provider details

- **NPI number:** 1710335476
- **Authorized official:** DR. BRUNI LEKA DPM (OWNER)
- **Authorized official phone:** (215) 698-6133

## Contact information

- **Practice address:** 1900 GRANT AVE STE B, PHILADELPHIA, PA 19115-4370
- **Practice address phone:** (215) 698-6133
- **Practice address fax:** (215) 698-6144
- **Mailing address:** 1927 GOODNAW ST, PHILADELPHIA, PA 19115-4720
- **Mailing address phone:** (215) 698-6133
- **Mailing address fax:** (215) 698-6144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | SC006479 | PA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC006479 | PA | Yes |

## Other

- **Enumeration date:** 06/02/2016
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1032590600001 | — | PA |