| NPI | 1194725002 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-07-21 |
| Last Updated | 2026-05-21 |
| Authorized Official | Jerold Goldstein AUTHORIZED OFFICIAL Phone: 2399365400 |
| Mailing Address | 7117 Congdon Rd Apt 200 Fort Myers, FL 33908-5004 United States Phone: (239) 936-5400 | Fax: (239) 936-9572 📍 View Map |
| Primary Practice Address | 7117 Congdon Rd Apt 200 Fort Myers, FL 33908-5004 United States Phone: (239) 936-5400 | Fax: (239) 936-9572 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 340184700 | - |
| Other (non-Medicare) | FL | CN1511 | RAILROAD MEDICARE |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 213E00000X – Podiatrist | - | - |
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | FL | PO-1326 |
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | FL | PO-2020 |
| No | 261QP1100X – Clinic/Center, Podiatric | - | - |
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | FL | PO-3722 |
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | FL | PO-1693 |
| Yes | 213ES0103X – Podiatrist, Foot & Ankle Surgery | FL | PO-3613 |
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About NPI 1194725002
Foot & Ankle Group Of Southwest Florida, Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1194725002. The primary specialty listed is Podiatrist, Foot & Ankle Surgery. The organization is located in Fort Myers, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194725002?
NPI 1194725002 belongs to Foot & Ankle Group Of Southwest Florida, Pa, a Podiatrist, Foot & Ankle Surgery in Fort Myers, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194725002 active?
The current status of NPI 1194725002 in the NPPES registry is Active. The record was last updated on 2026-05-21.
What specialty is NPI 1194725002?
NPI 1194725002 is classified under the taxonomy Podiatrist, Foot & Ankle Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194725002?
You can verify NPI 1194725002 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194725002?
The primary practice address on file for NPI 1194725002 is 7117 Congdon Rd Apt 200, Fort Myers, FL 33908-5004. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194725002 issued?
NPI 1194725002 was first issued (enumerated) on 2005-07-21. The NPPES record was last updated on 2026-05-21.
Practice Location Map
Foot & Ankle Group Of Southwest Florida, Pa is located at 7117 Congdon Rd Apt 200, Fort Myers, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Foot & Ankle Group Of Southwest Florida, Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1194725002. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | PO-1326 | FL |
| Podiatrist, Foot & Ankle Surgery | PO-2020 | FL |
| Podiatrist, Foot & Ankle Surgery | PO-3722 | FL |
| Podiatrist, Foot & Ankle Surgery | PO-1693 | FL |
| Podiatrist, Foot & Ankle Surgery | PO-3613 | FL |