Provider Demographics
NPI:1629349840
Name:NAPLES FOOT DOCTOR, LLC
Entity Type:Organization
Organization Name:NAPLES FOOT DOCTOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERR
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:978-531-4484
Mailing Address - Street 1:5490 BRYSON DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0924
Mailing Address - Country:US
Mailing Address - Phone:239-325-8717
Mailing Address - Fax:866-214-2666
Practice Address - Street 1:5490 BRYSON DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0924
Practice Address - Country:US
Practice Address - Phone:239-325-8717
Practice Address - Fax:866-214-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3399261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric