MEDICARE: SANDRA P DESAI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO2833	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	PO2833	OTHER	FL	STATE LICENSE
3	650953687	OTHER	FL	TAXID

General Provider Information

NPI Number	:	1316981368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA P DESAI DPM

Provider Business Mailing Address
First Line	:	PO BOX 1588
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-1588
Country	:	US
Telephone Number	:	239-936-2454
Fax Number	:	239-936-1974

Provider Business Practice Location Address
First Line	:	316 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1710
Country	:	US
Telephone Number	:	239-738-7324
Fax Number	:	239-458-2009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	12/18/2025

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Directions to “ SANDRA P DESAI DPM” Practice Location

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