| NPI | 1285818237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIAN MEDINA Head Of Billing 813-788-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: FL P01116) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2010-05-13 |