NPI | 1225663826 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J. KING President 407-219-5402 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2020-03-04 |
Last Update Date | 2023-05-26 |