| NPI | 1205014776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN GROSSMAN Vice President 954-961-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME62041) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO 3022) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |