| NPI | 1891970240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON ROSS President 954-748-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO1131) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL p01131) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2011-01-24 |