| NPI | 1164634556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN PETROCELLI President 239-775-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO-2399) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2023-03-07 |