| NPI | 1154565315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA R. MALLETTE President 321-795-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 2629) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-10-22 |