| NPI | 1629520911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOPEZ CEO 305-520-9154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3849) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2019-04-24 |