Active NPI
Lower Extremity Specialists LLC
- Foot & Ankle Surgery Podiatrist
- Cape Coral, FL
National Provider Identifier
1508312687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3451
- Legal business name
- LOWER EXTREMITY SPECIALISTS LLC
- Practice address
- 2500 Del Prado Blvd S
Cape Coral, FL 33904-5750 - Phone
- (305) 301-0005
- NPI assigned
- Aug 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Gonzalez, D.P.M.
- Title
- Sole Proprietor
- Phone
- (305) 301-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3451 | FL | Primary |
Addresses
Primary practice location
2500 Del Prado Blvd S
Cape Coral, FL 33904-5750
Mailing address
PO Box 152545
Cape Coral, FL 33915-2545
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472428800000",
"number": "1508312687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152545",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339152545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045750",
"telephone_number": "305-301-0005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWER EXTREMITY SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-29",
"last_updated": "2016-08-29",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "305-301-0005",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.