| NPI | 1871770990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD STEPHEN TANNER Podiatrist 954-722-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO729) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-02-28 |