| NPI | 1083658868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA LAVOICE President 305-342-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 2963) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO 2963) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: FL PO 2963) | |
| 213ER0200X Podiatrist, Radiology (Licence: FL PO 2963) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-03-02 |