| NPI | 1326113861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD BRUCE PETUSEVSKY President 954-742-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO1813) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-03-20 |