| NPI | 1871482984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN DIEN SHANAHAN Podiatrist/Owner/President 941-666-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-09-02 |