| NPI | 1861642175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY E SMITH Office Manager 941-923-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO1696) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-02-23 |