Organization
GULFCOAST FOOT AND ANKLE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY EDSON GORDON DPM (OWNER)
(239) 566-8800
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD, 3RD FLOOR, NAPLES, FL 34119-3900
(239) 566-8800
(239) 566-8800
Mailing address
PO BOX 110759, NAPLES, FL 34108-0113
(239) 566-8800
(239) 566-8778
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0002638
FL
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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