| NPI | 1073140794 | 
|---|---|
| Doing Business As | FOOTWORX ACTIVE PODIATRY | 
| Entity Type | Organization | 
| Authorized Contact | GINA SADRI Practice Director 239-590-8860 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery | 
| Enumeration Date | 2020-03-24 | 
| Last Update Date | 2022-12-30 |