NPI | 1477590362 |
---|---|
Doing Business As | BREVARD PODIATRY GROUP |
Entity Type | Organization |
Authorized Contact | RISA L VINARUB Owner / Medical Director 321-452-5133 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2006-06-01 |
Last Update Date | 2008-04-29 |