| NPI | 1386140242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADY PAULA DEJESUS Owner/President 561-626-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2018-11-15 |