| NPI | 1902112774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A GREEN President 305-935-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO1378) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2020-06-13 |