| NPI | 1053774596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M. KIBRIA Physician 239-353-1555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL P03769) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |