| NPI | 1043205040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H LINDBERG Authorized Official 727-943-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 852) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2021-03-09 |