| NPI | 1730505157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMEON ELI ISAACS Member 786-351-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 002897) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |