| NPI | 1962674903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAZE MARIAN DAVIS President/Owner 305-479-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3333) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-04-21 |