| NPI | 1891123410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMEON ISAACS Manager 786-351-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 65-002897) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |