Organization
SANDRA R. GOTMAN, D.P.M., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA R GOTMAN D.P.M. (PRESIDENT/ DOCTOR)
(305) 229-9596
Entity
Organization
Contact information
Practice address
11760 SW 40TH ST, SUITE 616, MIAMI, FL 33175-8100
(305) 229-9595
(305) 229-9596
Mailing address
11760 SW 40TH ST, SUITE 616, MIAMI, FL 33175-8100
(305) 229-9595
(305) 229-9596
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 1678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029757700
—
FL
01
—
87910
BCBS
—
Enumeration date
04/02/2009
Last updated
07/04/2010
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