| NPI | 1457535593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M KOEWLER Owner 941-923-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO 1696) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-08-12 |