| NPI | 1518082098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD S MATTISON President 561-364-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 1994) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-11-04 |