| NPI | 1679177661 | 
|---|---|
| Doing Business As | CERTIFIED FOOT AND ANKLE SPECIALISTS | 
| Entity Type | Organization | 
| Authorized Contact | KYLE J KINMON President 561-995-0229 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site | 
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine | 
| Enumeration Date | 2020-11-30 | 
| Last Update Date | 2024-10-09 |