| NPI | 1326414343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WIGLEY Owner 305-895-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3625) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2019-06-13 |