| NPI | 1861436693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN ABBOUD Owner 727-512-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3233) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |