| NPI | 1124779665 |
|---|---|
| Doing Business As | ADVANCED PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | DANE TRASK CEO 813-747-1128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |