| NPI | 1871342378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EZRA GOLDBERG Clinical Assistant Instructor 786-897-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-17 |