| NPI | 1861673402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY NASH Office Manager 352-332-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO 2070) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2011-07-26 |