Healthcare Provider Details

I. General information

NPI: 1528035300
Provider Name (Legal Business Name): LIMONS FOOT & ANKLE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4614 26TH ST W
BRADENTON FL
34207
US

IV. Provider business mailing address

4614 26TH ST W
BRADENTON FL
34207
US

V. Phone/Fax

Practice location:
  • Phone: 941-756-6906
  • Fax: 941-751-0976
Mailing address:
  • Phone: 941-756-6906
  • Fax: 941-751-0976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA M GRIFFITH-LIMON
Title or Position: PHYSICIAN
Credential: DPM
Phone: 941-756-6906