| 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 |