| NPI | 1659456820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M DAVIDSON Member 954-974-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: FL PO1172) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-10-02 |