| NPI | 1407195514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO MARINO REYES President 305-551-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3590) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2014-06-09 |