| NPI | 1093931545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ELAINE TORRES-HODGES Owner 850-478-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO 2847) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-11-13 |