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 DPM (OWNER)
(239) 566-8800
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD, 3RD FLOOR, NAPLES, FL 34119-3900
(239) 304-5161
(239) 304-5193
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
12/11/2013
Last updated
12/11/2013
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