| NPI | 1457453938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANALYNN GUASTEFERRO President 205-918-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL 175) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2020-09-16 |