| NPI | 1407157324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON L GONZALEZ President 239-541-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3291) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2020-02-17 |