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 |