| NPI | 1770598617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PRICE Administrator 239-542-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL P00001617) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-06-20 |