Organization
SUNSHINE STATE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ANN FIELDS DPM (PODIATRIST)
(239) 404-7793
Entity
Organization
Contact information
Practice address
24830 BURNT PINE DR STE 3, BONITA SPRINGS, FL 34134-1974
(239) 703-9301
Mailing address
8353 SW 124TH ST STE 206, MIAMI, FL 33156-5847
(239) 703-9301
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO3984
DEPARTMENT OF HEALTH FLORIDA
FL
01
—
PO3990
DEPARTMENT OF HEALTH
FL
Enumeration date
05/08/2018
Last updated
12/14/2018
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