| NPI | 1619788858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KING President 407-219-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2026-06-02 |