NPI | 1457910010 |
---|---|
Doing Business As | SEASIDE FOOT AND ANKLE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JEANNY RICKARDS Owner/Foot And Ankle Surgeon 857-318-1675 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |