| NPI | 1033106612 |
|---|---|
| Doing Business As | LAKE WORTH SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER B. BALDOCK Officer And Authorized Official 615-234-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1069) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2024-05-09 |