Organization Active NPI

Foot Ankle&Lower Leg Surgical Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1912309030
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT ANKLE&LOWER LEG SURGICAL GROUP LLC
Practice address
35 Barkley Cir Ste 2
Fort Myers, FL 33907-7601
Phone
(239) 247-3636
NPI assigned
Sep 19, 2014
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Riquel Gonzalez, DPM
Title
Owner - Ceo
Phone
(239) 247-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

35 Barkley Cir Ste 2
Fort Myers, FL 33907-7601

Mailing address

35 Barkley Cir Ste 2
Fort Myers, FL 33907-7601
Phone (239) 247-3636

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1912309030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BARKLEY CIR STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077601",
            "telephone_number": "239-247-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BARKLEY CIR STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077601",
            "telephone_number": "239-247-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT ANKLE&LOWER LEG SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RIQUEL",
        "authorized_official_title_or_position": "OWNER - CEO",
        "authorized_official_telephone_number": "239-247-3636",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.