| NPI | 1821340225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN Q LE Authorize Officer 813-831-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO2234) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2017-05-11 |