| 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 |