| NPI | 1477898690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOB TIMENY Owner 239-689-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3490) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |