| NPI | 1790871317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN ADIB ABBOUD Owner 813-943-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po3233) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |