| NPI | 1700375458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN FIELDS Podiatrist 239-404-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL 3984) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-12-14 |