| NPI | 1013120963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL REDDY Owner Physician 904-739-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3091) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-04-10 |