| NPI | 1801098769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LEEDS Administrator 305-668-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL P02792) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: FL P02027) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2009-03-19 |