| NPI | 1548461148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DAWN FISHMAN Owner 305-948-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: FL PO2352) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-05-14 |