| NPI | 1740911064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KING President 407-219-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2026-05-29 |