| 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 |