| NPI | 1104267673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BLAISE Owner 305-761-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po3526) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2019-01-22 |