| NPI | 1629261508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KLEIN Office Manager 561-447-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist Sports Medicine (Licence: FL PO1505) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-07-11 |