| NPI | 1033296173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAOBI OGUCHI Authorized Official 386-774-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3038) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-05-15 |