NPI | 1902621105 |
---|---|
Doing Business As | STRIDE FORWARD MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DANE TRASK Of CEO 813-787-1128 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2024-11-21 |
Last Update Date | 2024-11-21 |