SOORENA SADRI DPM PA (NPI# 1609135300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609135300 |
| Entity Type | Organization |
| Organization Name | SOORENA SADRI DPM PA |
| Practice Address |
4956 Royal Gulf Cir Fort Myers FL 33966-7006 |
| Practice Telephone | 2395908860 |
| Practice Fax Number | 9495774813 |
| Mailing Telephone | 2395908860 |
| Mailing Fax Number | 9495774813 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | DR. SOORENA SADRI (OWNER) |
| Authorized Official Telephone | 2395908860 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD | 6506A | 01 |
| FL | RAILROAD MEDICARE | P01066091 | 01 |
| Street Address |
4956 ROYAL GULF CIR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578792339 | Soorena Sadri | Podiatrist | 4956 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2009-07-14 |
| 1073140794 | Inertia Sgsv, LLC | Podiatrist | 4956 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2020-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326573940 | Sahiba Singh | Podiatrist | 6846 International Center Blvd Ste B, Fort Myers, FL 33912-7155 | 2017-04-21 |
| 1689113409 | Apex Foot & Ankle Center, LLC | Podiatrist | 8100 Arbor Ct, Second Floor Building A, Fort Myers, FL 33908-2865 | 2017-02-13 |
| 1528435807 | Burg Foot & Ankle Pa | Podiatrist | 12681 New Brittany Blvd, Bldg 1e, Fort Myers, FL 33907-3631 | 2015-08-21 |
| 1912309030 | Foot Ankle&lower Leg Surgical Group LLC | Podiatrist | 35 Barkley Cir Ste 2, Fort Myers, FL 33907-7601 | 2014-09-19 |
| 1417298597 | Michael James Wilkins | Podiatrist | 5238 Mason Corbin Ct Ste 102, Fort Myers, FL 33907 | 2013-03-14 |
| 1578792339 | Soorena Sadri | Podiatrist | 4956 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2009-07-14 |
| 1093963449 | Eric Stephen Trathen | Podiatrist | 12630 World Plaza Ln, Suite 70, Fort Myers, FL 33907-3987 | 2008-08-28 |
| 1942378724 | Gregory C Spain | Podiatrist | 11323 Reflection Isles Blvd, Fort Myers, FL 33912 | 2006-12-01 |
| 1871541680 | David Nicholas Gavin | Podiatrist | 15620 Mcgregor Blvd., Suite 125, Fort Myers, FL 33908-2528 | 2006-05-04 |
| 1437153236 | Brian K Doerr | Podiatrist | 14391 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4421 | 2005-06-09 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on SOORENA SADRI DPM PA.
| 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.