| NPI | 1528371010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN LOISELLE Owner 727-596-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 1880) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO 1880) |
| 213ER0200X Podiatrist, Radiology (Licence: FL PO 1880) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-28 |