| NPI | 1043600968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWAD ABDUL MALIK Presdient 407-913-3965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po 3628) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2023-08-07 |