NPI | 1972903508 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER L ZEMA President 386-506-8701 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3320) |
Enumeration Date | 2014-09-02 |
Last Update Date | 2014-09-10 |