| NPI | 1326180795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L VALDES President 954-704-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-2687) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO-2687) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO-2687) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-08-19 |