| NPI | 1538686498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KING President 407-219-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2023-08-03 |