| NPI | 1972797199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE MARIE COLALUCE Administration 727-384-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO2815) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-04-20 |