| NPI | 1629191127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R VIVAS President 305-642-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO1733) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-08-08 |