NPI | 1598935249 |
---|---|
Entity Type | Organization |
Authorized Contact | NEAL M BULLOCK President Owner 954-450-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2571) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2008-03-10 |
Last Update Date | 2011-05-20 |