| NPI | 1396557690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY E CERDA Doctor 561-707-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |