| NPI | 1740571454 |
|---|---|
| Doing Business As | SPARKS FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2012-11-27 |