| NPI | 1124813845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA E HULEC President, Provider Enrollment 386-206-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2025-04-12 |