| NPI | 1851430672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN J MILLER Physician 727-321-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO1707) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-08-11 |