NPI | 1396945481 |
---|---|
Entity Type | Organization |
Authorized Contact | LOURDES PEREZ Office Manager 305-480-2045 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3121) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0034210) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2007-07-18 |