| NPI | 1013011162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYAPRAKASH K KAMATH President 727-528-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL 850) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-09-17 |