| NPI | 1417264722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORG ALEXANDER BOBER Owner/Podiatrist 904-422-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3294) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |