| NPI | 1851578918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE KURECKI Owner/Manager 941-426-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO0001946) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2023-03-07 |