Provider Demographics
NPI:1871776377
Name:FOOT AND ANKLE ASSOCIATES OF NORTH NAPLES, P.A.
Entity type:Organization
Organization Name:FOOT AND ANKLE ASSOCIATES OF NORTH NAPLES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:NOLL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:239-592-0700
Mailing Address - Street 1:10621 AIRPORT PULLING RD N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7333
Mailing Address - Country:US
Mailing Address - Phone:239-592-0700
Mailing Address - Fax:239-592-0700
Practice Address - Street 1:10621 AIRPORT PULLING RD N
Practice Address - Street 2:SUITE 4
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7333
Practice Address - Country:US
Practice Address - Phone:239-592-0700
Practice Address - Fax:239-592-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2067213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65217Medicare PIN
FL0979970001Medicare NSC
FLU25436Medicare UPIN