NPI | 1366682130 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY LOU BURMEISTER Physician 904-765-8889 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO1913) |
Enumeration Date | 2009-03-05 |
Last Update Date | 2016-07-14 |