NPI | 1104867050 |
---|---|
Doing Business As | LEE PODIATRY GROUP |
Entity Type | Organization |
Authorized Contact | LAURA TOADVINE Office Manager 239-936-2454 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2833) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO2882) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2011-08-30 |