| NPI | 1477814176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP F ADLER Owner/Podiatrist 904-731-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO690) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3414) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2158) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3516) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |