| NPI | 1649597139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY T CHAN CEO 863-385-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po3400) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2013-01-31 |