Organization
LOWER EXTREMITY SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GONZALEZ D.P.M. (SOLE PROPRIETOR)
(305) 301-0005
Entity
Organization
Contact information
Practice address
2500 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5750
(305) 301-0005
Mailing address
PO BOX 152545, CAPE CORAL, FL 33915-2545
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3451
FL
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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