| NPI | 1912381708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R SELBST Manager 561-638-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3651) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2017-04-14 |