| 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 |