| NPI | 1710104583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY CLINT LAIRD Owner And Dpm 941-493-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2025-05-29 |