NPI | 1730354523 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSANA RODRIGUEZ Doctor 904-823-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2734) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2012-01-17 |