| NPI | 1053596197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F LINN Owner 352-861-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO-0002122) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2011-07-26 |