| NPI | 1811032212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES HENNE Doctor 352-242-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3047) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-05-22 |