| NPI | 1598941411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAMES PANGBORN President/Owner 954-979-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: FL PO2210) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-25 |