NPI | 1023557204 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER E ROTH Treasurer 407-323-2566 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-02-21 |