NPI | 1518141654 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES A SULESKEY Owner 941-493-7999 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 1729) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2011-07-11 |