| NPI | 1295027373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M KUKLA Owner 239-689-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3496) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-09-06 |