Healthcare Provider Details

I. General information

NPI: 1124276373
Provider Name (Legal Business Name): LIMONS FOOT & ANKLE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2008
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11065 GATEWOOD DR STE 102
LAKEWOOD RANCH FL
34211-4944
US

IV. Provider business mailing address

11065 GATEWOOD DR UNIT C-102
BRADENTON FL
34211-4944
US

V. Phone/Fax

Practice location:
  • Phone: 941-782-8639
  • 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 Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

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