| NPI | 1871003384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN BERNARD PRICE Owner 941-567-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2875) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-01-29 |