Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peace River Ankle & Foot, Pl

Organization Foot & Ankle Surgery Podiatrist · NPI 1023329331

Peace River Ankle & Foot, Pl is a Foot & Ankle Surgery Podiatrist in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

3440 Conway Blvd 1D
Port Charlotte, FL 33952-7000
Phone: (941) 624-3668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3264 (FL)

Record details

NPI number1023329331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Waddell — Owner/Podiatrist · (941) 624-3668
NPI enumeratedJuly 1, 2010
Last updated in NPPESMarch 3, 2011
Mailing address3440 Conway Blvd, 1d, Port Charlotte, FL 33952-7000

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