| NPI | 1124266846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GERALD HARRIS Owner 904-355-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3181) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2024-02-15 |