| NPI | 1366716243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KOO President 954-770-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3281) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |