GULFCOAST FOOT & ANKLE CENTER, INC. (NPI# 1285854448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285854448 |
| Entity Type | Organization |
| Organization Name | GULFCOAST FOOT & ANKLE CENTER, INC. |
| Practice Address |
11181 Health Park Boulevard Suite #1180 Naples FL 34110-5738 |
| Mailing Address |
P.o. Box 110759 Naples FL 34108-0113 |
| Practice Telephone | 2395668800 |
| Practice Fax Number | 2395668778 |
| Mailing Telephone | 2395668800 |
| Mailing Fax Number | 2395668778 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MR. MICKEY EDSON GORDON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2395668800 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO0002638 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1093729592 | 01 | |
| FL | NPI | 1285854448 | 01 |
| INDIVIDUAL NPI | 1689644882 | 01 |
| Street Address |
11181 HEALTH PARK BOULEVARD SUITE #1180 |
| City | NAPLES |
| State | FL |
| Zip Code | 34110-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235633488 | Ana Laura Leyva | Nurse Practitioner | 16010 Old 41 N Unit 102, Naples, FL 34110 | 2018-03-22 |
| 1598295495 | At Home Services of Swfl | Home Health | 161 Crown Dr, Naples, FL 34110 | 2017-06-14 |
| 1497100101 | Zumedic LLC | Nurse Practitioner | 16010 Old 41 Rd. Suite 102, Naples, FL 34110 | 2016-05-01 |
| 1386043024 | Specialty Home Health Agency | Home Health | 11983 Us Tamiami Trail North, Suite 132, Naples, FL 34110 | 2014-08-19 |
| 1457762403 | Better At Home Health Services, LLC | Home Health | 5683 Strand Court, Suite 101, Naples, FL 34110 | 2014-05-13 |
| 1447500970 | Epiphany Salon & Spa | Durable Medical Equipment & Medical Supplies | 14700 Tamiami Trail N., Suite #13, Naples, FL 34110 | 2012-09-12 |
| 1902172828 | Omar M Saleh | Internal Medicine | 2338 Immokalee Road, Naples, FL 34110 | 2012-03-25 |
| 1962785337 | Shannon Kathleen Perry | Speech-Language Pathologist | 16165 Learning Ln, Naples, FL 34110 | 2011-09-22 |
| 1417238338 | Virtus Health, LLC | Community/Behavioral Health | 90 Cypress Way E Ste 60, Naples, FL 34110 | 2011-09-06 |
| 1902113202 | Laura L Jones | Nurse Practitioner | 15450 Tamiami Trl N, Naples, FL 34110 | 2010-09-08 |
| Find all providers in zip 34110 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780035725 | Jake Powers | Podiatrist | 730 Goodlette Frank Rd Ste 102, Naples, FL 34102-5617 | 2016-06-30 |
| 1467812842 | Associates In Medicine & Surgery LLC | Podiatrist | 2950 9th St N, Suite 13, Naples, FL 34103-4420 | 2016-02-29 |
| 1457628521 | Dr Kelly Malinoski LLC | Podiatrist | 7955 Airport Pulling N Rd., 101, Naples, FL 34109-1794 | 2011-11-17 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1295030120 | N & J Foot and Ankle Specialist, LLC | Podiatrist | 2835 29th Ave Ne, Naples, FL 34120-7432 | 2011-01-25 |
| 1417188624 | Jyothi A Amin | Podiatrist | 3435 Pine Ridge Rd Ste 102, Naples, FL 34109 | 2009-08-05 |
| 1285863985 | Christopher J Calcagni | Podiatrist | 4550 Executive Drive, Ste 104, Naples, FL 34119 | 2009-07-02 |
| 1114155678 | Jenny Wawrzyniak Adams | Podiatrist | 3435 Pine Ridge Rd, Suite 102, Naples, FL 34109-3828 | 2009-06-23 |
| 1851557474 | Dr. Loan Lam | Podiatrist | 8340 Collier Blvd Ste 400, Naples, FL 34114-3626 | 2008-08-03 |
| 1679593594 | Robert Walter Salvatori | Podiatrist | 130 Tamiami Trl N Ste 100, Naples, FL 34102-6231 | 2006-07-21 |
| Find all providers in NAPLES | ||||
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| 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.