| NPI | 1679761324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ EMELIA LOPEZ Vicepresident 305-389-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WA PO00000825) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2009-01-28 |