| NPI | 1215094776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA L OLSON Office Support Mananger 941-758-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-07-21 |