| NPI | 1508195405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL D MONTES Owner 727-530-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL P00001887) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2010-02-24 |