| NPI | 1225575855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURVI SHAAN SHAH Podiatrist 813-484-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA POD001208) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |