Provider Demographics
NPI:1124276373
Name:LIMONS FOOT & ANKLE CARE INC
Entity type:Organization
Organization Name:LIMONS FOOT & ANKLE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH-LIMON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:941-756-6906
Mailing Address - Street 1:11065 GATEWOOD DR UNIT C-102
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4944
Mailing Address - Country:US
Mailing Address - Phone:941-756-6906
Mailing Address - Fax:941-751-0976
Practice Address - Street 1:11065 GATEWOOD DR STE 102
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34211-4944
Practice Address - Country:US
Practice Address - Phone:941-782-8639
Practice Address - Fax:941-751-0976
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIMONS FOOT & ANKLE CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-29
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0439Medicare PIN
FL3922430001Medicare NSC