Individual
SANDRA P DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
316 DEL PRADO BLVD S, CAPE CORAL, FL 33990-1710
(239) 738-7324
(239) 458-2009
Mailing address
PO BOX 1588, FORT MYERS, FL 33902-1588
(239) 936-2454
(239) 936-1974
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126968600
—
FL
01
—
650953687
TAXID
FL
01
—
PO2833
STATE LICENSE
FL
Enumeration date
06/16/2006
Last updated
12/18/2025
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