Desai, Sandra P

Desai, Sandra P is an sole proprietor health care provider with primary practice located at 12734 Kenwood Ln Suite 44, Fort Myers FL 33907-5666. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Desai, Sandra P can be contacted via phone (239) 936-2454.

Contact Information

Primary practice address
12734 Kenwood Ln Suite 44 Fort Myers FL 33907-5666
Phone: (239) 936-2454
Fax: (239) 936-1974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2833 Florida

Profile Details

NPI number 1316981368
LBN Legal business name Desai, Sandra P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Mar 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316981368 NPPES
Florida Other PO2833 STATE LICENSE
Florida MEDICAID 340126000 STATE LICENSE
Florida Other 650953687 STATE LICENSE
Florida MEDICAID 340439100 STATE LICENSE

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