NPI | 1881878551 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER B BRAHM Podiatrist 727-446-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO922) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2007-12-18 |