| NPI | 1114963006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EUGENE GREGOLINE Podiatric Surgeon 954-793-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2877) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2009-10-08 |