Soorena Sadri Dpm Pa

LBN: Soorena Sadri Dpm Pa
Soorena Sadri Dpm Pa is an health care organization with primary practice located at 4956 Royal Gulf Cir , Fort Myers FL 33966-7006. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Soorena Sadri Dpm Pa can be contacted via phone (239) 590-8860, or through Sadri, Soorena via phone (239) 590-8860.

Contact Information

Primary practice address
4956 Royal Gulf Cir Fort Myers FL 33966-7006
Phone: (239) 590-8860
Fax: (949) 577-4813
Website:
Map and Directions
Authorized official contact:
Name: Sadri, Soorena Doctor of Podiatric Medicine (DPM)
Phone: (239) 590-8860

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X Florida

Profile Details

NPI number 1609135300
LBN Legal business name Soorena Sadri Dpm Pa
DBA Doing business as
Authorized official Sadri, Soorena Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2012
Last updated May 27th, 2020 - about 5 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 1609135300 NPPES
Florida Other 6506A BLUE SHIELD
Florida Other P01066091 BLUE SHIELD

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