| Organization Name: | FOOT AND ANKLE CENTERS OF CHARLOTTE COUNTY PA |
| NPI Number: | 1013068709 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMIR S VAKIL (PRESIDENT) |
| Mailing Address: | 352 Milus St Punta Gorda |
| State: | FL US |
| Postal Code: | 339504552 |
| Phone Number: | 9416390025 |
| Fax Number: | 9413747271 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 04/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | PO002258 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |