| NPI | 1174785679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT PETERSON President 305-644-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3056) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-04-28 |