NPI | 1487654042 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN SCHMIDT COO 727-796-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL HCC10003) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2005-07-26 |
Last Update Date | 2025-09-18 |