| NPI | 1912461633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KING President 407-219-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213ES0131X |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2026-05-29 |