| NPI | 1487963864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SALVATO Medical Director 813-752-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2015-03-23 |