| NPI | 1851688576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA BAESSO Dpm/Manager 954-907-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3466) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2014-02-13 |