MEDICARE: FOOT AND ANKLE ASSOCIATES OF NORTH NAPLES, P.A.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PO2067	FL

General Provider Information

NPI Number	:	1871776377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT AND ANKLE ASSOCIATES OF NORTH NAPLES, P.A.

Provider Business Mailing Address
First Line	:	10621 AIRPORT PULLING RD N
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-7333
Country	:	US
Telephone Number	:	239-592-0700
Fax Number	:	239-592-0700

Provider Business Practice Location Address
First Line	:	10621 AIRPORT PULLING RD N
Second Line	:	SUITE 4
City	:	NAPLES
State	:	FL
Zip	:	34109-7333
Country	:	US
Telephone Number	:	239-592-0700
Fax Number	:	239-592-0700

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. MARIA GENE NOLL
Credential	:	D.P.M.
Telephone Number	:	239-592-0700

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	11/06/2023

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10621 AIRPORT PULLING ROAD , SUITE 3
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1487682282 — DR. JEROME SCOTT NOLL DPM
Practice Location Address:

10621 AIRPORT PULLING RD N , SUITE 4
NAPLES, FL
34109-7333

Practice Phone: 239-592-0700
Practice Fax:

1801807490 — DR. MARIA GENE NOLL DPM
Practice Location Address:

10621 AIRPORT PULLING RD N , SUITE 4
NAPLES, FL
34109-7333

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Practice Fax: 239-592-0700

1609052547 — MRS. NANCY FAIGHT-TARRETE LMHC
Practice Location Address:

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1063713493 — MINDFUL THERAPEUTICS, LLC
Practice Location Address:

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