| NPI | 1326100579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GOODMAN Owner Podiatrist 727-796-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO1435) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-03-21 |