| NPI | 1689766420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ANN SPIVAK President Owner 352-380-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL po2878) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |