| NPI | 1851680573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N GAVIN Dp 239-433-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO1528) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2013-08-23 |