NPI | 1508312687 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD GONZALEZ Sole Proprietor 305-301-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3451) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2016-08-29 |