| NPI | 1689971921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH H FORD Manager 954-295-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL Po3315) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |