| NPI | 1205489077 |
|---|---|
| Doing Business As | FAMILY FOOT & ANKLE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | LLATOYA GAYLE Credentialing Specialist 475-210-5346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |