| NPI | 1427340041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERT J HENKEL President 954-981-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: FL PO2555) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |