Lee Podiatry Group

LBN: Sandra P Desai Dpm
Lee Podiatry Group is an health care organization with primary practice located at 12734 Kenwood Ln Suite 44, Fort Myers FL 33907-5666. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Sandra P Desai Dpm can be contacted via phone (239) 936-2454, or through Toadvine, Laura via phone (239) 936-2454.

Contact Information

Primary practice address
12734 Kenwood Ln Suite 44 Fort Myers FL 33907-5666
Phone: (239) 936-2454
Fax: (239) 936-1974
Website:
Map and Directions
Authorized official contact:
Name: Toadvine, Laura
Phone: (239) 936-2454

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2833 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2882 Florida

Profile Details

NPI number 1104867050
LBN Legal business name Sandra P Desai Dpm
DBA Doing business as Lee Podiatry Group
Authorized official Toadvine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104867050 NPPES
Florida MEDICAID 340439100

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