Healthcare Provider Details

I. General information

NPI: 1346820776
Provider Name (Legal Business Name): NAUREEN SYED DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8851 BOARDROOM CIR
FORT MYERS FL
33919-4888
US

IV. Provider business mailing address

10641 MISTFLOWER LN
TAMPA FL
33647-3738
US

V. Phone/Fax

Practice location:
  • Phone: 239-481-7000
  • Fax: 239-481-8150
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4593
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: