| NPI | 1982688354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD REPKO President 813-877-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 261QP1100X Clinic/Center, Podiatric | |
| 213E00000X Podiatrist (Licence: FL P00001221) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-07-27 |