| NPI | 1942227541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER E ROTH Treasurer 407-323-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-04-06 |