| NPI | 1154506509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BEYER Owner 813-988-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO2690) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-09 |