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 |