| NPI | 1528100088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R AGOSTINELLI Physician 850-863-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO0002643) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-05-30 |