| NPI | 1639206022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARMO L ORTIZ President 239-573-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: FL 0702007) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |