| NPI | 1700015849 |
|---|---|
| Doing Business As | GOLD COAST PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | IRA J JACOBSON Vice President 561-993-3668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO0001689) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO0001592) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2012-04-19 |