| NPI | 1720811508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN CHARLES HODSON Owner/Physician 850-622-1607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-12-05 |