| NPI | 1487146890 |
|---|---|
| Doing Business As | FOOT PAIN DOCTORS OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | BRENDA CAROL COLEY-GROBES President 302-373-3435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL L18000131637) |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-09-04 |