| NPI | 1104014513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA KORYTOWSKI SELDIN Physician 305-246-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2015-06-19 |