| NPI | 1194153890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIARA DA ROCHA President 954-200-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |