| Sunshine State Podiatry Llc | |
|
24830 Burnt Pine Dr Ste 3, Bonita Springs, FL 34134-1974 | |
| (239) 703-9301 | |
| Not Available |
| Full Name | Sunshine State Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 24830 Burnt Pine Dr Ste 3, Bonita Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700375458 | NPI | - | NPPES |
| PO3990 | Other | FL | DEPARTMENT OF HEALTH |
| PO3984 | Other | FL | DEPARTMENT OF HEALTH FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 3984 (Florida) | Primary |
| Provider Name | Stephanie Ann Fields |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417362013 PECOS PAC ID: 4082959341 Enrollment ID: I20181214002679 |
| Provider Name | Konstantin Agarunov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194130211 PECOS PAC ID: 7719227081 Enrollment ID: I20190322002200 |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine State Podiatry Llc 8353 Sw 124th St Ste 206, Miami, FL 33156-5847 Ph: (239) 703-9301 | Sunshine State Podiatry Llc 24830 Burnt Pine Dr Ste 3, Bonita Springs, FL 34134-1974 Ph: (239) 703-9301 |
Harry Cotler Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 23421 Walden Center Dr., Ste. 100, Bonita Springs, FL 34134 Phone: 239-444-0700 Fax: 239-444-0900 | |
Gulfcoast Foot And Ankle Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd, Suite 2150, Bonita Springs, FL 34135 Phone: 239-949-3399 Fax: 239-949-6553 | |
Joint Replacement Institute Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd, Suite 2180, Bonita Springs, FL 34135 Phone: 239-676-2663 Fax: 239-676-2655 | |
Christopher Paladino, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28089 Vanderbilt Dr, #104, Bonita Springs, FL 34134 Phone: 239-498-1176 Fax: 239-498-5877 |