| NPI | 1154516185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNEFFER SCHNELLER PULAPAKA Owner/ Manager 386-738-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3160) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2018-03-08 |