| NPI | 1093083339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW MEHRDAD MOSHIRFAR Owner 941-921-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2267) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |