| NPI | 1336330026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR MIROSHNICHENKO President / Owner 954-721-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2442) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2010-04-26 |