| NPI | 1386088425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEILSON JORGE President CEO 954-696-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |