| NPI | 1528435807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DENNIS BURG Owner 239-689-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2882) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |