NPI | 1093266991 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A CRIST President 239-272-1185 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL Po 1768) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |