| NPI | 1710399555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANA RODRIGUEZ Physician 904-823-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 208D00000X General Practice | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2025-05-02 |