| NPI | 1730666348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MICHELLE BRODIE Podiatrist 954-452-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3998) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-01-12 |