| NPI | 1588768733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISEL MEDINA President 786-317-8037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL P03198) |
| Enumeration Date | 2006-09-09 |
| Last Update Date | 2007-09-25 |