| NPI | 1295804367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JAY KALISH Owner President 772-465-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO-001790) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-05-07 |