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 |