| NPI | 1366999252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JASON HANCOCK Owner/Physician 352-255-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO3579) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-08-01 |