NPI | 1962499285 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER PALADINO President 239-498-1176 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: FL PO2435) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2010-09-17 |