NPI | 1255432746 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNIE M BASKIN Corporate Administrator 904-251-5053 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
Enumeration Date | 2006-09-26 |
Last Update Date | 2023-06-01 |