FOOT AND ANKLE CARE OF THE ISLAND COAST PA
Podiatry at Mcgregor Blvd, Fort Myers, FL

License number
Florida PO-1727
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. CURTIS W. SKUPNY D.P.M.
Title: PRESIDENT
Phone: (239) 482-7100
Address
Address
13761 Mcgregor Blvd, Fort Myers, FL 33919
National Provider ID: 1750437166
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FOOT AND ANKLE CARE OF THE ISLAND COAST, PA

13761 Mcgregor Blvd, Fort Myers, FL 33919

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Aug 2, 1990
Inactive since:
Nov 24, 1999
State ID:
L91812
Business type:
Florida Profit Corporation
Presidents:
Dpm Skupny, 13761 Mcgregor Blvd, Fort Myers, FL 33919 (Physical),Curtis W. Skupny (President)
Agent:
Curtis Skupny,13761 Mcgregor Blvd, Fort Myers, FL 33919 (Physical)
EIN:
65-0212967

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