| NPI | 1801075932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD LEO GOLDSTEIN Owner 813-972-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO0000369) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2011-02-09 |