| Sandra R. Gotman, D.p.m., P.a. | |
|
11760 Sw 40th St, Suite 616, Miami, FL 33175-8100 | |
| (305) 229-9595 | |
| (305) 229-9596 |
| Full Name | Sandra R. Gotman, D.p.m., P.a. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 11760 Sw 40th St, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861634065 | NPI | - | NPPES |
| 87910 | Other | BCBS | |
| 029757700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 1678 (Florida) | Primary |
| Provider Name | Sandra Gotman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508851692 PECOS PAC ID: 3870699572 Enrollment ID: I20070425000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra R. Gotman, D.p.m., P.a. 11760 Sw 40th St, Suite 616, Miami, FL 33175-8100 Ph: (305) 229-9595 | Sandra R. Gotman, D.p.m., P.a. 11760 Sw 40th St, Suite 616, Miami, FL 33175-8100 Ph: (305) 229-9595 |
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