| NPI | 1366626541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MERKOW Vice President 727-800-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2025-11-07 |