| NPI | 1659432037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN G KENNEDY Office Mgr 727-391-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po1338) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-03-11 |