| NPI | 1811177199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WHYATT Owner 352-331-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2753) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO1605) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-12-29 |