Organization
FOOT & ANKLE CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PALADINO DPM (PRESIDENT)
(239) 498-1176
Entity
Organization
Contact information
Practice address
28089 VANDERBILT DR, SUITE 104, BONITA SPRINGS, FL 34134-7521
(239) 498-1176
(239) 498-5877
Mailing address
28089 VANDERBILT DR, SUITE 104, BONITA SPRINGS, FL 34134-7521
(239) 498-1176
(239) 498-5877
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
PO2435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65364
BLUE CROSS/BLUE SHIELD
FL
01
—
DH1805
RAILROAD MEDICARE
FL
Enumeration date
10/03/2005
Last updated
09/17/2010
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