| NPI | 1649664426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC STEPHEN TRATHEN Physician/President 239-689-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po3472) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |