| NPI | 1578273132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WASHBURN Provider 727-527-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-11-08 |