NPI: 1912531286 · ENTERPRISE, FL 32725 · Primary Podiatric Medicine Podiatrist · NPI assigned 02/26/2020
| Authorized Official | WOOCIKER, SAMUEL (PRESIDENT) |
| NPI Enumeration Date | 02/26/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 128 | $111.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 128 | 85 | $111.96 |