| NPI | 1861633968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BUNKER Office Manager 772-473-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po0002601) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2010-12-28 |