| NPI | 1093148272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A. WEINER President/Owner 561-265-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2873) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2873) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO2873) | |
| 213ER0200X Podiatrist, Radiology (Licence: FL PO2873) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: FL PO2873) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO2873) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-13 |