| NPI | 1053583856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBERLY C PARADOA President 772-299-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3105) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-10-14 |