| NPI | 1003028747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MINA Owner 239-481-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO1386) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-06-10 |