Organization
FOOT AND ANKLE MANAGEMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEVENSON CMRS (OFFICE MANAGER)
(239) 263-0200
Entity
Organization
Contact information
Practice address
681 GOODLETTE RD N, SUITE 160, NAPLES, FL 34102-5458
(239) 263-0200
(239) 263-8435
Mailing address
681 GOODLETTE RD N, SUITE 160, NAPLES, FL 34102-5458
(239) 263-0200
(239) 263-8435
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 1760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98023
BLUECROSS AND BLUESHIELD
FL
Enumeration date
08/15/2006
Last updated
04/29/2020
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