| NPI | 1942315171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE C ANDERSON Physician 863-314-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO2915) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-02-16 |