| NPI | 1184805699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F THOMAS Owner 386-860-1402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: FL PO 0001637) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2018-06-20 |