NPI: 1891844270 · MOUNT DORA, FL 32757 · Primary Podiatric Medicine Podiatrist · NPI assigned 01/09/2007
| Authorized Official | BLACK, JANET (OWNER) |
| NPI Enumeration Date | 01/09/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 16 | 16 | $0.00 |