| NPI | 1073548053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL KRISHANTHI LEWIS Office Manager 407-647-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-05-05 |