NPI | 1821200445 |
---|---|
Entity Type | Organization |
Authorized Contact | H A CHARARA Owner 239-481-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2041) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2008-05-30 |