Organization
ROBERTO E PUENTE DPM PLLC
Active
Other names
Harbor Foot & Leg Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO E PUENTE DPM (OWNER)
(941) 883-4820
Entity
Organization
Contact information
Practice address
21300 GERTRUDE AVE STE 3, PORT CHARLOTTE, FL 33952-5002
(941) 883-4820
(941) 883-6086
Mailing address
21300 GERTRUDE AVE STE 3, PORT CHARLOTTE, FL 33952-5002
(941) 883-4820
(941) 883-6086
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340145600
—
FL
01
—
65669
BCBSFL
FL
01
—
DE8265
RAILROAD
—
Enumeration date
02/26/2007
Last updated
12/21/2017
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