| NPI | 1679777668 |
|---|---|
| Former Legal Business Name | PODIATRY ASSOCIATES OF NORTHEAST FLORIDA INC |
| Entity Type | Organization |
| Authorized Contact | SUSAN G SINCHUK Corporate Administrator 904-224-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO-01121) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2009-09-03 |