NPI | 1174814578 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PASTERNAC President 305-305-5936 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL P2971) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-04-20 |