| NPI | 1427350511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE A. BOLLO Owner 954-450-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2570) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2016-09-16 |