Organization
GULFCOAST FOOT AND ANKLE CENTER
Active
Parent organization
GULFCOAST FOOT AND ANKLE CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULFCOAST FOOT AND ANKLE CENTER, INC.
Authorized official
DR. MICKEY EDSON GORDON DPN (OWNER)
(239) 566-8800
Entity
Organization
Contact information
Practice address
3501 HEALTH CENTER BLVD, SUITE 2150, BONITA SPRINGS, FL 34135-8127
(239) 949-3399
(239) 949-6553
Mailing address
9955 TAMIAMI TRL N, SUITE 1, NAPLES, FL 34108-1914
(239) 566-8800
(239) 566-8778
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO0002638
FL
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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