| NPI | 1265621726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYOUSH ZAFAR Owner 239-481-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2799) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2009-04-24 |