| NPI | 1710104583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARIE MCCORMICK Vice President 941-493-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO-0001705) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-06-03 |