| NPI | 1962247973 |
|---|---|
| Former Legal Business Name | MTHAE.INC |
| Doing Business As | MIIMII THAE |
| Entity Type | Organization |
| Authorized Contact | MIIMII THAE President /Owner 305-496-0596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-08-30 |