NPI: 1073059507 · PORT CHARLOTTE, FL 33952 · Podiatrist · NPI assigned 01/08/2017
| Authorized Official | BUSH, MIKE (MANAGER) |
| NPI Enumeration Date | 01/08/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 16 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 16 | 16 | $0.00 |