| NPI | 1841476959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN M CLOUD Doctor Of Podiatric Medicine 904-534-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO1367) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2023-01-26 |