| NPI | 1255576906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M MERITT Owner 904-355-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO865) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |