| NPI | 1174845622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON FLOYD President 917-207-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3406) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2013-02-20 |