| NPI | 1922747146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASON M. QUINN Chief Executive Officer 561-320-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-06-22 |