| NPI | 1427349026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDON MOODLEY Sole Member 305-323-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WA 603091158) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |