| 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 |