| NPI | 1437986981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE MECHELLE TORRENCE Manager 954-261-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |