NPI | 1720344419 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEILSON JORGE President 305-512-2887 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0505X Family Medicine, Adult Medicine | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2012-04-06 |
Last Update Date | 2012-04-06 |