| NPI | 1730523317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIQUEL GONZALEZ President 305-962-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3603) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2022-02-15 |