| NPI | 1295030120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIURKA HERRERA Manager 305-305-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: FL PO3436) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3436) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-02-15 |