GULFCOAST FOOT AND ANKLE CENTER (NPI# 1194156158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194156158 |
| Entity Type | Organization |
| Organization Name | GULFCOAST FOOT AND ANKLE CENTER |
| Practice Address |
3501 Health Center Blvd Suite 2150 Bonita Springs FL 34135-8127 |
| Mailing Address |
9955 Tamiami Trl N Suite 1 Naples FL 34108-1914 |
| Practice Telephone | 2399493399 |
| Practice Fax Number | 2399496553 |
| Mailing Telephone | 2395668800 |
| Mailing Fax Number | 2395668778 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | DR. MICKEY EDSON GORDON (OWNER) |
| Authorized Official Telephone | 2395668800 |
| Authorized Official Credential | DPN |
| Is Organization Subpart | Y |
| Parent Organization Name | GULFCOAST FOOT AND ANKLE CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO0002638 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487085833 | Gulfcoast Foot and Ankle Center | Podiatrist | 6101 Pine Ridge Rd, 3rd Floor, Naples, FL 34119-3900 | 2013-12-11 |
| Street Address |
3501 HEALTH CENTER BLVD SUITE 2150 |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34135-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633156 | Thomas C Morell | Specialist | 3501 Health Center Blvd, Suite 2140, Bonita Springs, FL 34135-8127 | 2005-07-21 |
| 1134584147 | Robert D. Klausner, Md, Pa | Otolaryngology | 3501 Health Center Blvd, Suite 2240, Bonita Springs, FL 34135-8127 | 2015-12-17 |
| 1184098238 | Guzman-huesca & Perez LLC | Internal Medicine | 3501 Health Center Blvd, Suite 2160, Bonita Springs, FL 34135-8127 | 2015-11-30 |
| 1568838589 | Interventional Rehabilitation of South Florida, Inc. | Anesthesiology | 3501 Health Center Blvd, Bonita Springs, FL 34135-8127 | 2015-08-13 |
| 1619388675 | Nicholas Samuel Testa | Physical Medicine & Rehabilitation | 3501 Health Center Blvd, Bonita Springs, FL 34135-8127 | 2014-05-13 |
| 1760756316 | Estonna Management LLC | Pharmacy | 3501 Health Center Blvd, #1200, Bonita Springs, FL 34135-8127 | 2012-02-29 |
| 1043583370 | Becker Orthopedics | Clinic/Center | 3501 Health Center Blvd, Suite 2440, Bonita Springs, FL 34135-8127 | 2012-02-16 |
| 1194092312 | Carolina Loiza | Massage Therapist | 3501 Health Center Blvd, Bonita Springs, FL 34135 | 2011-11-17 |
| 1386949352 | Joint Replacement Institute LLC | Podiatrist | 3501 Health Center Blvd, Suite 2180, Bonita Springs, FL 34135-8127 | 2011-01-21 |
| 1265734776 | Zaida Camba | Physical Therapist | 3501 Health Center Blvd, Bonita Springs, FL 34135-8127 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
| 1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
| 1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
| 1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
| Find all providers in zip 34135 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
| 1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
| 1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
| 1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
| 1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
| 1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
| 1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
| 1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
| 1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
| 1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
Please comment or provide details below to improve the information on GULFCOAST FOOT AND ANKLE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.