| NPI | 1144488834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBUBACCA PARKINSON Director 239-273-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO2944) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2016-03-22 |