Sandra P Desai Dpm

NPI 1104867050 - Podiatrist - 213ES0103X

NPI Details
NPI 1104867050
Enumeration Date 06/10/2006
Last Updated 08/30/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAURA LAURA
Position OFFICE MANAGER
Phone (239) 936-2454
Fax (239) 936-1974
Practice Location
12734 KENWOOD LN
SUITE 44
FORT MYERS FL, 33907-5666, US
Phone (239) 936-2454
Fax (239) 936-1974
Business Location
12734 KENWOOD LN
SUITE 44
FORT MYERS FL, 33907-5666, US
Phone (239) 936-2454
Fax (239) 936-1974
Toxanomy
Taxonomy Code 213ES0103X
License State Florida
License Number PO2882
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According to our database, Sandra P Desai Dpm NPI is 1104867050, taxonomy code is 213ES0103X and license number is PO2882, license state is located at Florida. Sandra P Desai Dpm physically located at 12734 Kenwood Ln, Fort Myers FL, 33907-5666. NPI Number 1033115704 has the healthcare provider type.

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1104867050 NPI number is provided on an as is basis without warranty of any kind. 1104867050 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra P Desai Dpm are for informational purposes only.