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NPI Code Detail

MEDICARE: CORTEZ FOOT & ANKLE SPECIALISTS, PA

MEDICARE: CORTEZ FOOT & ANKLE SPECIALISTS, PA
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
1213ES0103XFoot & Ankle Surgery Podiatrist

General Provider Information

NPI Number : 1639927478
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORTEZ FOOT & ANKLE SPECIALISTS, PA
Provider Business Mailing Address
First Line : 1800 CORTEZ RD W
Second Line :
City : BRADENTON
State : FL
Zip : 34207-1335
Country : US
Telephone Number : 941-758-8818
Fax Number : 941-755-2901
Provider Business Practice Location Address
First Line : 1722 DEL PRADO BLVD S STE 12
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-5523
Country : US
Telephone Number : 239-573-9200
Fax Number : 855-376-5040
Authorized Official
Title or Position : OWNER
Name : RICHARD N BERKUN
Credential : DPM
Telephone Number : 941-758-8818
Provider Enumeration Date : 05/07/2024
Last Update Date : 05/07/2024

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Directions to “CORTEZ FOOT & ANKLE SPECIALISTS, PA ” Practice Location

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