| NPI | 1548423510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA D DENIS President 904-771-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3237) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2009-09-28 |