NPI | 1093990376 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ANDREW WORMAN Owner 727-547-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po 3196) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2008-01-04 |