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

Son Shine Foot and Ankle Center Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1063459675

Son Shine Foot and Ankle Center Inc is a Foot & Ankle Surgery Podiatrist in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1405 SE Goldtree Dr Ste B
Port St Lucie, FL 34952-7563
Phone: (772) 380-0900
Fax: (772) 380-0901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO2649 (FL)

Record details

NPI number1063459675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Derrico — Physician · (772) 380-0900
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 3, 2008
Mailing addressPo Box 8210, Port St Lucie, FL 34985-8210

Other providers in Port St Lucie