| 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 |