| NPI | 1174780134 |
|---|---|
| Doing Business As | PAMELA KIRBY, DPM |
| Entity Type | Organization |
| Authorized Contact | PAMELA KIRBY Owner 386-788-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: FL PO2581) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: FL PO2796) |
| 261QP1100X Clinic/Center, Podiatric (Licence: FL PO0003382) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT17909) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT10210) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-08-20 |