| NPI | 1639788714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY JOB Owner And AO 941-375-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |