| NPI | 1528276466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY BERENS Owner 352-331-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO 1560) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-09-05 |