Organization
SOLE PODIATRY CENTER PA
Active
Parent organization
SOLE PODIATRY CENTER PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLE PODIATRY CENTER PA
Authorized official
DR. SEAN M. KIBRIA D.P.M. (PHYSICIAN)
(239) 353-1555
Entity
Organization
Contact information
Practice address
5475 GOLDEN GATE PKWY, STE 4, NAPLES, FL 34116-7529
(239) 353-1555
(239) 353-7001
Mailing address
5475 GOLDEN GATE PKWY, STE 4, NAPLES, FL 34116-7529
(239) 353-1555
(239) 353-7001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P03769
FL
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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