| NPI | 1700540549 |
|---|---|
| Doing Business As | CERTIFIED FOOT & ANKLE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | KYLE J KINMON President/ Owner 561-995-0229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-10-09 |