institution
Soorena Sadri Dpm Pa
Foot & Ankle Surgery Podiatrist in Fort Myers, Florida
NPI 1609135300

Soorena Sadri Dpm Pa is a Foot & Ankle Surgery Podiatrist based in Fort Myers, FL and is specialized in Foot & Ankle Surgery. Soorena Sadri Dpm Pa practices in Fort Myers, FL. The NPI Number for Soorena Sadri Dpm Pa is 1609135300 and holds a License No. (Florida).

The current practice location address for Soorena Sadri Dpm Pa is 4956 Royal Gulf Cir, Fort Myers, FL and can be reached out via phone at 239-590-8860 and via fax at 949-577-4813.

Location: 4956 Royal Gulf Cir, Fort Myers, FL, 33966-7006
institution
Provider Profile Details
NPI Number
1609135300
Provider Name
Soorena Sadri Dpm Pa
Credential
Provider Entity Type
Organization
Address
4956 Royal Gulf Cir, Fort Myers, FL, 33966-7006
Phone Number
239-590-8860
Fax Number
949-577-4813
Provider Enumeration Date
05/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6506A 01 FL BLUE SHIELD
P01066091 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4956 Royal Gulf Cir
City
State
Zip
33966-7006
Phone Number
239-590-8860
Fax Number
949-577-4813
person
Provider Business Mailing Address Details
Address
4956 Royal Gulf Cir
City
State
Zip
33966-7006
Phone Number
239-590-8860
Fax Number
949-577-4813
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
(Florida)
Definition
Definition to come...
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