| NPI | 1245429703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSE R TRIBUIANI Owner 239-949-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2858) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2018-02-28 |