| NPI | 1386814259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES NASH YOUNG Credentialer 813-254-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2019-11-05 |