| NPI | 1336488444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROSELLO REYES President 305-551-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3591) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2014-08-28 |