| Lee Podiatry Group | |
|
12734 Kenwood Ln, Suite 44, Fort Myers, FL 33907-5666 | |
| (239) 936-2454 | |
| (239) 936-1974 |
| Full Name | Lee Podiatry Group |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 12734 Kenwood Ln, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104867050 | NPI | - | NPPES |
| 340439100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO2833 (Florida) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO2882 (Florida) | Secondary |
| Provider Name | Sandra P Desai |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316981368 PECOS PAC ID: 7012905805 Enrollment ID: I20040510000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Podiatry Group 12734 Kenwood Ln, Suite 44, Fort Myers, FL 33907-5666 Ph: (239) 936-2454 | Lee Podiatry Group 12734 Kenwood Ln, Suite 44, Fort Myers, FL 33907-5666 Ph: (239) 936-2454 |
Dr. Brent Hewitt Bernstein, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075 | |
Timothy C. Runyon, Dpm, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2540 Winkler Ave, Fort Myers, FL 33901 Phone: 239-278-4100 | |
Dr. Andrew M Belis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12670 Creekside Lane, Suite 202, Fort Myers, FL 33919 Phone: 239-482-2663 Fax: 239-482-7585 | |
Dr. Steven Eric Holberg, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907 Phone: 239-936-5400 Fax: 239-936-9572 | |
Daniel A Black Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8851 Boardroom Cir, Fort Myers, FL 33919 Phone: 239-481-7000 Fax: 239-433-8999 | |
Footworx Active Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 4956 Royal Gulf Cir, Fort Myers, FL 33966 Phone: 917-723-0939 | |
The Podiatry Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 13681 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-768-2323 Fax: 239-768-5530 |