| NPI | 1356521140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MARK GOLDENBERG President 386-252-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2530) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2010-09-24 |