| NPI | 1619994266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY A ANDERSON President 904-261-3653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL P03335) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-06-23 |