| NPI | 1588102354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN D RHODES Owner 888-731-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO3204) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |