| NPI | 1194044107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C MASON Physician 407-333-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-0001884) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO-0001884) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PO-0001884) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2012-01-18 |