| NPI | 1457628521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN MALINOSKI Owner 239-260-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3475) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2022-08-19 |