| NPI | 1447616495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M COTTOM President 941-924-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3305) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2019-06-03 |