NPI | 1134158264 |
---|---|
Former Legal Business Name | SOUTHERNMOST PODIATRY |
Entity Type | Organization |
Authorized Contact | RICARDO MARCOS Practice Administrator 305-235-9550 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2006-07-01 |
Last Update Date | 2023-05-16 |