# FOOT ANKLE&LOWER LEG SURGICAL GROUP LLC

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

## Provider details

- **NPI number:** 1912309030
- **Authorized official:** RIQUEL GONZALEZ DPM (OWNER - CEO)
- **Authorized official phone:** (239) 247-3636

## Contact information

- **Practice address:** 35 BARKLEY CIR STE 2, FORT MYERS, FL 33907-7601
- **Practice address phone:** (239) 247-3636
- **Mailing address:** 35 BARKLEY CIR STE 2, FORT MYERS, FL 33907-7601
- **Mailing address phone:** (239) 247-3636

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 09/19/2014