| NPI | 1962580134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. MUTSCHLER President/Podiatrist 786-428-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0131X |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-07-22 |