| NPI | 1417492265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE AUSTIN Owner 239-949-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3500) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-04-09 |