Organization
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, PA
Active
Other names
FOOT & ANKLE GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
JEROLD S. GOLDSTEIN (AUTHORIZED OFFICIAL)
(239) 936-5400
Entity
Organization
Contact information
Practice address
7117 CONGDON RD APT 200, FORT MYERS, FL 33908-5004
(239) 936-5400
(239) 936-9572
Mailing address
7117 CONGDON RD APT 200, FORT MYERS, FL 33908-5004
(239) 936-5400
(239) 936-9572
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
PO-1326
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO-1693
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO-2020
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-3613
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO-3722
FL
261QP1100X
Podiatric Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340184700
—
FL
01
—
CN1511
RAILROAD MEDICARE
FL
Enumeration date
07/21/2005
Last updated
05/01/2025
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